Organization · Type 2 NPI
Kush Medical Group
Pain Medicine (Anesthesiology) Physician · Gardena, CA
Practice location
14015 Van Ness Ave # 10
Gardena, CA 90249-2937
Fax (310) 327-7765
Mailing address
PO Box 6299
Torrance, CA 90504-0299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Anesthesiology) Physician Primary | 207LP2900X | A45536 (CA) |
| Family Medicine Physician | 207Q00000X | A45536 (CA) |
| Pediatrics Physician | 208000000X | A45536 (CA) |
| Interventional Pain Medicine Physician | 208VP0014X | A45536 (CA) |
Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
About NPI 1104958784
Kush Medical Group's National Provider Identifier is 1104958784, issued on Mar 10, 2007. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Gardena, CA. The record was last updated on Sep 11, 2025.