Individual
DR. KAUSHAL R TAMBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8317 DAVIS ST, SUITE A, DOWNEY, CA 90241-4918
(562) 869-1511
(562) 869-0771
Mailing address
8317 DAVIS ST, SUITE A, DOWNEY, CA 90241-4918
(562) 869-1511
(562) 869-0771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A384080
—
CA
01
—
060068098
MEDICARE RAILROAD
CA
Enumeration date
12/14/2006
Last updated
10/02/2014
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