Individual
PAUL MICHIHIDE KANZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
12200 WASHINGTON BLVD STE M, WHITTIER, CA 90606-2579
(562) 945-4920
(562) 945-9360
Mailing address
12200 WASHINGTON BLVD STE M, WHITTIER, CA 90606-2579
(562) 945-4920
(562) 945-9360
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
00031048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GXC000190
MEDICAL
CA
Enumeration date
08/25/2020
Last updated
08/25/2020
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