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Organization
KEVIN J. CHAMAS INC.
Active
Organization
KEVIN J. CHAMAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JUSTIN CHAMAS M.D. (CEO AND PRESIDENT)
(310) 564-2005
Entity
Organization
Contact information
Practice address
3333 MANNING AVE, LOS ANGELES, CA 90064-4804
(310) 564-2005
Mailing address
802 DICKSON ST, MARINA DEL REY, CA 90292-5511
(310) 564-2005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G058541
CA
Other
Enumeration date
08/28/2007
Last updated
07/30/2013
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