Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kush Medical Group

Organization Pain Medicine (Anesthesiology) Physician · NPI 1104958784

Kush Medical Group is a Pain Medicine (Anesthesiology) Physician in Gardena, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4

Practice location Address checks out

14015 Van Ness Ave # 10
Gardena, CA 90249-2937
Phone: (310) 327-7682
Fax: (310) 327-7765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence A45536 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A45536 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A45536 (CA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence A45536 (CA)

Record details

NPI number1104958784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiansi Boni — Owner · (310) 644-3488
NPI enumeratedMarch 10, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 6299, Torrance, CA 90504-0299