KUSH MUKESH FANSIWALA

LOS ANGELES, CA
NPI1548847429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A191577)
Enumeration Date2021-03-26
Last Update Date2024-06-25
Business Address
KUSH MUKESH FANSIWALA MD
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095-8358
Phone number: 310-206-6232
Mailing Address
KUSH MUKESH FANSIWALA MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707