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Organization
KENNETH D. PAROLA, D.O., INC.
Active
Organization
KENNETH D. PAROLA, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D. PAROLA M.D. (PRESIDENT)
(805) 526-4380
Entity
Organization
Contact information
Practice address
2045 ROYAL AVE, SUITE 121, SIMI VALLEY, CA 93065-4665
(808) 526-4380
(805) 520-0431
Mailing address
2045 ROYAL AVE, SUITE 121, SIMI VALLEY, CA 93065-4665
(808) 526-4380
(805) 520-0431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A41520
—
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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