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Organization
KC MEDICAL
Active
Organization
KC MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES K NEAL M.D. (PRESIDENT)
(818) 205-9500
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 705, ENCINO, CA 91436-4323
(818) 205-9500
Mailing address
16311 VENTURA BLVD STE 705, ENCINO, CA 91436-4323
(818) 205-9500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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