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Organization
NTA MEDICAL CORPORATION
Active
Organization
NTA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTUAN KILEY M.D. (OWNER)
(213) 484-6995
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST FL 5, SUITE 5674, LOS ANGELES, CA 90026-5421
(213) 484-6995
Mailing address
1711 W TEMPLE ST FL 5, SUITE 5674, LOS ANGELES, CA 90026-5421
(213) 484-6995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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