Landis, Kenneth Wayne

Landis, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 4477 W 118Th St Ste 401 , Hawthorne CA 90250-2269. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Landis, Kenneth Wayne can be contacted via phone (310) 822-2255.

Contact Information

Primary practice address
4477 W 118Th St Ste 401 Hawthorne CA 90250-2269
Phone: (310) 822-2255
Fax: (310) 970-1979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G29787 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G29787 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G29787 California

Profile Details

NPI number 1861463077
LBN Legal business name Landis, Kenneth Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Nov 14th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861463077 NPPES
Other 290003222 RAILROAD RETIREMENT BOARD
MEDICAID 00G297870 RAILROAD RETIREMENT BOARD
Other CP9010 RAILROAD RETIREMENT BOARD

Popular Providers