# KENITH K PARESA, MD A PROFESSIONAL CORP

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

## Provider details

- **NPI number:** 1801118716
- **Authorized official:** KENITH K PARESA MD (PRESIDENT)
- **Authorized official phone:** (310) 659-9566

## Contact information

- **Practice address:** 1964 WESTWOOD BLVD STE 435, LOS ANGELES, CA 90025
- **Practice address phone:** (310) 856-9488
- **Mailing address:** 15332 ANTIOCH ST \# 530, PACIFIC PALISADES, CA 90272-3628
- **Mailing address phone:** (310) 874-8430
- **Mailing address fax:** (714) 917-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A66233 | CA | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 07/03/2019