Individual
MK SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1230 E WINDSOR RD, GLENDALE, CA 91205-2656
(818) 244-7219
Mailing address
7190 W SUNSET BLVD # 544, LOS ANGELES, CA 90046-4415
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
52469
CA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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