Provider Demographics
NPI:1316965429
Name:KUHN, REBECCA M (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:M
Last Name:KUHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7705 SEVILLE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-6570
Mailing Address - Country:US
Mailing Address - Phone:323-582-7406
Mailing Address - Fax:323-582-1862
Practice Address - Street 1:7705 SEVILLE AVE STE B
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-6570
Practice Address - Country:US
Practice Address - Phone:323-582-7406
Practice Address - Fax:323-582-1862
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56357207R00000X
CAA65185207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G98682Medicare UPIN