Organization
VASANTH K KUMAR M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASANTH KUKKALA KUMAR M D (OWNER)
(213) 595-6383
Entity
Organization
Contact information
Practice address
5245 VISTA LEJANA LN, LA CANADA, CA 91011-1860
(213) 595-6383
Mailing address
5245 VISTA LEJANA LN, LA CANADA, CA 91011-1860
(213) 595-6383
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A32885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A328850
—
CA
01
—
1689657496
NPI
CA
Enumeration date
02/16/2010
Last updated
09/26/2018
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