# KTOWN MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1104591999
- **Authorized official:** KEVIN DO MD (DIRECTOR)
- **Authorized official phone:** (818) 288-2757

## Contact information

- **Practice address:** 3580 WILSHIRE BLVD STE 115, LOS ANGELES, CA 90010-2502
- **Practice address phone:** (818) 288-2757
- **Mailing address:** 3580 WILSHIRE BLVD STE 115, LOS ANGELES, CA 90010-2502
- **Mailing address phone:** (818) 288-2757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021