# K.C. MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1205860525
- **Authorized official:** DANIEL J. HEALY M.D. (PRESIDENT)
- **Authorized official phone:** (626) 303-4651

## Contact information

- **Practice address:** 1755 HUNTINGTON DR, \#104, DUARTE, CA 91010-2567
- **Practice address phone:** (626) 303-4651
- **Practice address fax:** (626) 358-0915
- **Mailing address:** 1755 HUNTINGTON DR, \#104, DUARTE, CA 91010-2567
- **Mailing address phone:** (626) 303-4651
- **Mailing address fax:** (626) 358-0915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G45341 | CA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 10/12/2007