Susan Kaweski, M.D. A Professional
Specialist in La Mesa, CA. Organization (NPI-2).
NPI number1154516243
StatusActive
Last updated in NPPESJun 11, 2009
Details
- NPI
- 1154516243
- Entity type
- Organization (NPI-2)
- Legal business name
- Susan Kaweski, M.D. A Professional
- Organization subpart
- No
- Enumeration date
- Sep 11, 2007
- Last updated
- Jun 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G53909 | CA | Yes |
Practice location
8415 Grant AveLa Mesa, CA 91941-5303
Phone 619-464-9876 · Fax 619-464-9877
Mailing address
8415 Grant Ave.La Mesa, CA 91941
Phone 619-464-9876 · Fax 619-464-9877
Authorized official
Susan Kaweski
President
6194649876
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