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Individual

KANCHANA R VISWANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1868 PACIFIC AVE, LONG BEACH, CA 90806-6113
(562) 595-4718
Mailing address
1868 PACIFIC AVE, LONG BEACH, CA 90806-6113

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C53345
CA

Other

Enumeration date
08/05/2006
Last updated
08/12/2013
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