Individual
IRVIN MICHAEL KUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 S BONNIE BRAE ST APT 306, LOS ANGELES, CA 90057-4458
(626) 537-8741
Mailing address
467 S BONNIE BRAE ST APT 306, LOS ANGELES, CA 90057-4458
(626) 537-8741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95305063
CA
164X00000X
Licensed Vocational Nurse
VN287661
CA
Other
Enumeration date
12/07/2021
Last updated
12/02/2022
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