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Organization

PEAK HEALTH MEDICAL GROUP INC

Active
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Organization

PEAK HEALTH MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KASIANI GOUNTOUMAS (NURSE PRACTITIONER)
(310) 648-4802
Entity
Organization

Contact information

Practice address
1900 PICO BLVD, SANTA MONICA, CA 90405-1628
(310) 434-4262
Mailing address
2143 S SEPULVEDA BLVD STE 300, LOS ANGELES, CA 90025-5733

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15137
CA

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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