Individual
DR. JUSTIN THOMAS KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-2622
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-2622
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A103884
CA
Other
Enumeration date
10/03/2008
Last updated
11/18/2021
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