# KEN SEELEY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1386107019
- **Authorized official:** ERIC MCLAUGHLIN ASW (DIRECTOR)
- **Authorized official phone:** (323) 401-3660

## Contact information

- **Practice address:** 420 S PALM CANYON DR FL 2, PALM SPRINGS, CA 92262-7304
- **Practice address phone:** (323) 401-3660
- **Mailing address:** 3076 ARROYO SECO, PALM SPRINGS, CA 92264-9686
- **Mailing address phone:** (323) 401-3660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2019
- **Last updated:** 06/11/2019