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Organization
KERRY K ASSIL, MD, INC.
Active
Organization
KERRY K ASSIL, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY K ASSIL M.D. (PRESIDENT)
(310) 453-8911
Entity
Organization
Contact information
Practice address
2222 SANTA MONICA BLVD, SUITE 107, SANTA MONICA, CA 90404-2304
(310) 453-8911
(310) 453-2519
Mailing address
450 N ROXBURY DR, 3RD FLOOR, BEVERLY HILLS, CA 90210-4231
(310) 453-8911
(310) 453-2519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
G62647
CA
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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