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Organization
KAZ MED INC.
Active
Organization
KAZ MED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADI MICHEL KAZOURRA MD (PRESIDENT/CEO)
(909) 568-8440
Entity
Organization
Contact information
Practice address
2565 KENDALL ST, LA VERNE, CA 91750-3713
(909) 568-8440
Mailing address
2565 KENDALL ST, LA VERNE, CA 91750-3713
(909) 568-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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