Kouassi Konian NP

NPI 1730392754 - Clinic/Center - 261QH0100X

NPI Details
NPI 1730392754
Gender Male
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
450 BAUCHET ST
LOS ANGELES CA, 90012-2907, US
Phone (295) 888-4569
Fax
Business Location
5822 CONIFER ST
OAK PARK CA, 91377, US
Phone (818) 468-5669
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State California
License Number 15576
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According to our database, Kouassi Konian NP NPI is 1730392754, taxonomy code is 261QH0100X and license number is 15576, license state is located at California. Kouassi Konian NP physically located at 450 Bauchet St, Los Angeles CA, 90012-2907. NPI Number Kouassi Konian NP has the Individual type.

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1730392754 NPI number is provided on an as is basis without warranty of any kind. 1730392754 is maintained by the National Plan & Provider Enumeration System. The contents of Kouassi Konian NP are for informational purposes only.