| Doctor Name: | DR. HENRY RIVERA KAW |
| NPI Number: | 1215022967 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A95068 |
| Business Practice Address: | 321 N Pomona Ave Suite B Fullerton, CA - 928321927 |
| Business Phone Number: | 7144628383 |
| Business Fax Number: | 7144628384 |
| Mailing Address: | 321 N Pomona Ave, Suite B FULLERTON |
| State: | CA |
| Postal Code: | 928321927 |
| Phone Number: | 7144628383 |
| Fax Number: | 7144628384 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 02/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A95068 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |