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Organization
KIMDOC LLC
Active
Organization
KIMDOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN I METZGER D.O. (OWNER)
(310) 994-2822
Entity
Organization
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(310) 994-2822
Mailing address
3435 OCEAN PARK BLVD, 107-4442, SANTA MONICA, CA 90405-3301
(310) 994-2822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6782
CA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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