# KMD LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SAN MARINO IN THE DESERT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134582844
- **Authorized official:** MRS. TATYANA KRIVITSKY (SUPERVISOR)
- **Authorized official phone:** (818) 371-3474

## Contact information

- **Practice address:** 2017 W AVENUE K13, LANCASTER, CA 93536-4635
- **Practice address phone:** (818) 371-3474
- **Mailing address:** 4221 COLFAX AVE UNIT F, STUDIO CITY, CA 91604-2952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550003405 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2016
- **Last updated:** 03/30/2016