Individual provider · Type 1 NPI

Gerald James Kavanagh, MD

Specialist · Los Angeles, CA

NPI number 1679683882 Active

Practice location

637 Lucas Ave, Suite 402
Los Angeles, CA 90017-1912

Mailing address

443 19th St
Santa Monica, CA 90402-2431

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG18772 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679683882

Gerald James Kavanagh, MD's National Provider Identifier is 1679683882, issued on Aug 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 9, 2007.