Individual
DR. SUSAN KAWESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.S.
Contact information
Practice address
8415 GRANT AVE, LA MESA, CA 91941-5303
(619) 464-9876
(616) 464-9877
Mailing address
8415 GRANT AVE, LA MESA, CA 91941
(619) 464-9876
(619) 464-9877
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
G53909
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G53909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145416243
—
CA
05
—
1629076856
—
CA
Enumeration date
07/12/2005
Last updated
04/04/2018
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