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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245285394 NPPES
California MEDICAID ZZZ71793Z
California Other 0368640001
California Other CGP159090

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