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Individual

DR. DONALD D. KAISERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 813-9988
(626) 813-0075
Mailing address
PO BOX 635, WEST COVINA, CA 91793-0635
(626) 813-9988
(626) 813-0075

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C26455
CA
2085R0202X
Diagnostic Radiology Physician
C26455
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C264550
BCBS
CA
05
00C264550
CA
01
300034667
MEDICARE RR
CA
01
GR0058270
MEDI-CAL GROUP NUMBER
CA
01
GR0058271
MEDI-CAL GROUP NUMBER
CA
Enumeration date
06/16/2006
Last updated
04/22/2008
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