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DR. KAILASH R DHAMIJA M.D.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1548209976
Individual Registrant:DR. KAILASH R DHAMIJA M.D.
Gender: M
Gender: M
Location and contact information for practice:
18326 PIONEER BLVD ARTESIA, CA 90701-5533 US
Tel: 562-860-5599 Fax: --
Tel: 562-860-5599 Fax: --
Contact information for business:
18326 PIONEER BLVD ARTESIA, CA 90701-5533 US
Tel: 562-860-5599 Fax: --
Tel: 562-860-5599 Fax: --
Registration Information:
NPI: 1548209976
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | CA | A42292 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0A422920 | CA | 05 | |
| 00A422922 | CA | 05 |
