Search › California › 363LA2100X
Kanokwan Kultan
NPI 1063028298 · on the registry since 2020 · sole proprietor
Practice
- Address
- 15850 Babcock St
San Diego, CA 92127 - Phone
- (858) 344-8536
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California