Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 31293 | CA |
Y | 213EG0000X | General Practice | 31293 | CA |
NPI | 1003945981 |
---|---|
Provider Name | Dr. James M Kanda |
First Address | La Crescenta, CA 91214-2715 |
Second Address | La Crescenta, CA 91214-2715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 08/07/2007 |