Kusunis, Keith

Kusunis, Keith is an individual health care provider with primary practice located at 1770 N Orange Grove Ave Ste 101 , Pomona CA 91767-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kusunis, Keith can be contacted via phone (909) 469-9494.

Contact Information

Primary practice address
1770 N Orange Grove Ave Ste 101 Pomona CA 91767-3027
Phone: (909) 469-9494
Fax: (909) 469-2120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G59736 California

Profile Details

NPI number 1033110945
LBN Legal business name Kusunis, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 7th, 2023 - about 2 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 1033110945 NPPES
California MEDICAID 1033110945

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