Individual
GREGORY ALEXANDER KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2923 BRADLEY ST, PASADENA, CA 91107-1502
(626) 795-6596
Mailing address
2923 BRADLEY ST, PASADENA, CA 91107-1502
(626) 795-6596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A 9419
CA
Other
Enumeration date
05/19/2008
Last updated
07/21/2022
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