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Organization
KBS MEDICAL CALIFORNIA PC
Active
Organization
KBS MEDICAL CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KENNEDY (COO)
(212) 620-3053
Entity
Organization
Contact information
Practice address
145 S FAIRFAX AVE STE 200, LOS ANGELES, CA 90036-2186
(844) 942-5424
Mailing address
169 MADISON AVE STE 15824, NEW YORK, NY 10016-5101
(844) 440-2410
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/05/2023
Last updated
04/16/2026
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