Kanegaye, John Terry

Kanegaye, John Terry is an individual health care provider with primary practice located at 3020 Childrens Way , San Diego CA 92123-4223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Kanegaye, John Terry can be contacted via phone (858) 966-8036.

Contact Information

Primary practice address
3020 Childrens Way San Diego CA 92123-4223
Phone: (858) 966-8036
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G67670 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X G67670 California

Profile Details

NPI number 1689745432
LBN Legal business name Kanegaye, John Terry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689745432 NPPES
California MEDICAID 00G676700

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