# KGK PERSONA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063096022
- **Authorized official:** KARAPET KARAPETYAN (CEO/OWNER)
- **Authorized official phone:** (626) 522-1499

## Contact information

- **Practice address:** 9690 TELSTAR AVE STE 221, EL MONTE, CA 91731-3000
- **Practice address phone:** (626) 522-1499
- **Practice address fax:** (626) 522-1491
- **Mailing address:** 9690 TELSTAR AVE STE 221, EL MONTE, CA 91731-3000
- **Mailing address phone:** (626) 522-1499
- **Mailing address fax:** (626) 522-1491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021