Kenneth Wayne Landis in Hawthorne - Internal Medicine
Kenneth Wayne Landis - NPI 1861463077
Kenneth Wayne Landis is a Internal Medicine in Hawthorne, California. Kenneth Wayne Landis practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth Wayne Landis is 1861463077. The last update date is 2019-11-14.
Kenneth Wayne Landis's current location address is 4477 W 118th St Ste 401, Hawthorne, California. You can contact this provider via phone number 3108222255 and fax number 3109701979. The mailing address for Kenneth Wayne Landis is 4477 W 118th St Ste 401, Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wayne Landis |
|---|---|
| Address | 4477 W 118th St Ste 401, Hawthorne, California |
| Phone Number | 3108222255 |
| Fax Number | 3109701979 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861463077 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2019-11-14 |
Provider Mailing Address Detail
| Address | 4477 W 118th St Ste 401 |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902502269 |
| Phone Number | 3108222255 |
| Fax Number | 3109701979 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G29787 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290003222 | RAILROAD RETIREMENT BOARD | ||
| 00G297870 | CA | -- | |
| CP9010 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Wayne Landis by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Wayne Landis has been assigned the NPI (National Provider Identifier) 1861463077. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kenneth Wayne Landis is located?
The Kenneth Wayne Landis is situated at the following address: 4477 W 118Th St Ste 401, Hawthorne, CA, 902502269.
What is the Kenneth Wayne Landis's specialty and taxonomy code?
The Kenneth Wayne Landis's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did Kenneth Wayne Landis receive its 1861463077 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Landis was assigned its 1861463077 on 2006-01-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Wayne Landis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Wayne Landis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-11-14.
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