Individual
DR. INNA KESELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D
Contact information
Practice address
300 MEDICAL PLAZA # B200, LOS ANGELES, CA 90095
(310) 794-1195
(310) 794-7491
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A111883
CA
2084N0400X
Neurology Physician
Primary
A111883
CA
282N00000X
General Acute Care Hospital
A111883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003075037
—
CA
Enumeration date
06/05/2008
Last updated
01/17/2020
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