Organization
THOMAS H KANEGAE M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HENRY KANEGAE M D (OWNER)
(213) 977-0913
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, 804, LOS ANGELES, CA 90017-4810
(213) 977-1030
(213) 977-0379
Mailing address
1245 WILSHIRE BLVD, 804, LOS ANGELES, CA 90017-4810
(213) 977-1030
(213) 977-0379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
03/29/2011
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