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Individual

KIANUSCH KIAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3445 PACIFIC COAST HWY STE 300, TORRANCE, CA 90505-6660
(310) 530-8001
(310) 530-8012
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A55126
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A551260
BLUE SHIELD OF CA
CA
05
00A551260
CA
01
00A551260303
CALOPTIMA
CA
Enumeration date
06/10/2006
Last updated
08/19/2019
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