Individual
DR. HENRY LOC KANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
(530) 668-4839
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G74908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G749080
BLUE SHIELD
CA
05
—
00G749080
—
CA
01
—
370004307
RR MEDICARE
CA
01
—
370007252
MEDICARE RAILROAD CARRIER
CA
Enumeration date
07/12/2006
Last updated
03/04/2010
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