SearchCalifornia111N00000X

Tage Sebastian Kverneland

NPI 1386222164 · on the registry since 2021 · sole proprietor

Practice

Address
828b N La Brea Ave
Los Angeles, CA 90038
Phone
(310) 750-9887

Registry record

Primary taxonomy
111N00000X
111N00000X
Also registered as
111NN1001X
111NX0100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-31

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