Kintaudi, M.d., Inc

NPI 1255370037 - General Practice - 208D00000X

NPI Details
NPI 1255370037
Enumeration Date 06/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRUDENCIA C. PRUDENCIA
Position CEO
Phone (213) 483-4441
Fax (213) 483-4442
Practice Location
2010 WILSHIRE BLVD
SUITE 504
LOS ANGELES CA, 90057-3507, US
Phone (213) 483-4441
Fax (213) 483-4442
Business Location
2010 WILSHIRE BLVD
SUITE 504
LOS ANGELES CA, 90057-3507, US
Phone (213) 483-4441
Fax (213) 483-4442
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number G31192
Remove 1255370037 NPI Number
 

According to our database, Kintaudi, M.d., Inc NPI is 1255370037, taxonomy code is 208D00000X and license number is G31192, license state is located at California. Kintaudi, M.d., Inc physically located at 2010 Wilshire Blvd, Los Angeles CA, 90057-3507. NPI Number 1033115704 has the healthcare provider type.

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1255370037 NPI number is provided on an as is basis without warranty of any kind. 1255370037 is maintained by the National Plan & Provider Enumeration System. The contents of Kintaudi, M.d., Inc are for informational purposes only.