# KENNETH D. PAROLA, D.O., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790838530
- **Authorized official:** KENNETH D. PAROLA M.D. (PRESIDENT)
- **Authorized official phone:** (805) 526-4380

## Contact information

- **Practice address:** 2045 ROYAL AVE, SUITE 121, SIMI VALLEY, CA 93065-4665
- **Practice address phone:** (808) 526-4380
- **Practice address fax:** (805) 520-0431
- **Mailing address:** 2045 ROYAL AVE, SUITE 121, SIMI VALLEY, CA 93065-4665
- **Mailing address phone:** (808) 526-4380
- **Mailing address fax:** (805) 520-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20A4152 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020A41520 | — | CA |