Individual
SANJAY SURESH KAWANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 W BEVERLY BLVD, MONTEBELLO, CA 90640-2309
(323) 727-2887
(323) 727-2854
Mailing address
2625 W BEVERLY BLVD, MONTEBELLO, CA 90640-2309
(323) 727-2887
(323) 727-2854
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CP003404
DE
222Z00000X
Orthotist
C22146
CA
Other
Enumeration date
03/04/2008
Last updated
02/28/2022
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