Kawaguchi, Alan T
Kawaguchi, Alan T is an individual health care provider with primary practice located at 2488 N California St Alpine Orthopaedic Medical Group Inc, Stockton CA 95204-5508. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kawaguchi, Alan T can be contacted via phone (209) 948-3333.Contact Information
Primary practice address
2488 N California St Alpine Orthopaedic Medical Group Inc
Stockton CA 95204-5508
Phone: (209) 948-3333
Fax: (209) 948-2665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A55621 | California |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | A55621 | California |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | A55621 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A55621 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | A55621 | California |
Profile Details
| NPI number | 1245285394 |
|---|---|
| LBN Legal business name | Kawaguchi, Alan T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 10th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245285394 | NPPES |
| California | MEDICAID | ZZZ71793Z | |
| California | Other | 0368640001 | |
| California | Other | CGP159090 |
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