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Individual

DR. KAVID UDOMPANYANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10833 LE CONTE AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90095-3075
(408) 627-5377
Mailing address
10833 LE CONTE AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90095-3075
(408) 627-5377

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
98756
CA

Other

Enumeration date
03/08/2007
Last updated
02/11/2022
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