Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A47809 | CA |
N | 207RI0011X | Interventional Cardiology | A47809 | CA |
N | 208000000X | Pediatrician | A47809 | CA |
Y | 2080P0202X | Pediatric Cardiologist | A47809 | CA |
NPI | 1659394328 |
---|---|
Provider Name | Micheal Kuhn |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354-3450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A478090 | (05) | CA |
F12230 | (02) |