# KHT MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1962716423
- **Authorized official:** THOMAS HUNT KENNETH M.D. (CEO)
- **Authorized official phone:** (818) 623-0195

## Contact information

- **Practice address:** 10745 RIVERSIDE DR, SUITE \# D, TOLUCA LAKE, CA 91602-2371
- **Practice address phone:** (818) 623-0195
- **Practice address fax:** (818) 623-8933
- **Mailing address:** 10745 RIVERSIDE DR, SUITE \# D, TOLUCA LAKE, CA 91602-2371
- **Mailing address phone:** (818) 623-0195
- **Mailing address fax:** (818) 623-8933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A44107 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010