| Kush Medical Group | |
|
14015 Van Ness Ave # 10 Gardena CA 90249-2937 | |
| (310) 327-7682 | |
| (310) 327-7765 |
| Full Name | Kush Medical Group |
|---|---|
| Speciality | Anesthesiology - Pain Medicine |
| Location | 14015 Van Ness Ave # 10, Gardena, California |
| Authorized Official Name and Position | Kiansi Boni (OWNER) |
| Authorized Official Contact | 3106443488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kush Medical Group Po Box 6299 Torrance CA 90504-0299 Ph: (310) 327-7682 | Kush Medical Group 14015 Van Ness Ave # 10 Gardena CA 90249-2937 Ph: (310) 327-7682 |
| NPI Number | 1104958784 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104958784 | NPI | - | NPPES |
| 00A455361 | Medicaid | CA |
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