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Organization

MONZER KADDOUR MD INC

Active
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Organization

MONZER KADDOUR MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONZER KADDOUR MD (CEO)
(312) 451-4308
Entity
Organization

Contact information

Practice address
19528 VENTURA BLVD, 468, TARZANA, CA 91356-2917
(661) 287-3162
(661) 287-3951
Mailing address
19528 VENTURA BLVD, 468, TARZANA, CA 91356-2917
(661) 287-3162
(661) 287-3951

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C53238
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C53238
CA

Other

Enumeration date
11/19/2014
Last updated
05/21/2015
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