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Organization

MARSHALL L. KADNER, M.D., INC.

Active
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Organization

MARSHALL L. KADNER, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE MEADOWS (ADMINISTRATOR)
(310) 432-6640
Entity
Organization

Contact information

Practice address
421 N RODEO DR, PENTHOUSE NUMBER 1, BEVERLY HILLS, CA 90210-4500
(310) 432-6646
(310) 432-6647
Mailing address
421 N RODEO DR, PENTHOUSE NUMBER 1, BEVERLY HILLS, CA 90210-4500

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G5649
MEDICARE PTAN
CA
Enumeration date
03/12/2013
Last updated
03/12/2013
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