# KPG CALIFORNIA, LLC

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

## Provider details

- **NPI number:** 1841665254
- **Authorized official:** DARRYL OLIVIER (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (310) 975-1450

## Contact information

- **Practice address:** 9000 W SUNSET BLVD STE 1500, WEST HOLLYWOOD, CA 90069-5815
- **Practice address phone:** (310) 975-1450
- **Mailing address:** 9000 W SUNSET BLVD STE 1500, WEST HOLLYWOOD, CA 90069-5815
- **Mailing address phone:** (310) 975-1450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 53488 | CA | Yes |

## Other

- **Enumeration date:** 12/10/2015
- **Last updated:** 12/10/2015