Individual
BRADLEY ANDREW KAWANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WEST ARBOR DRIVE, MC 7220, SAN DIEGO, CA 92103
(619) 471-3859
Mailing address
200 WEST ARBOR DRIVE, MC 7220, SAN DIEGO, CA 92103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
189421
CA
Other
Enumeration date
04/11/2022
Last updated
09/20/2023
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