Individual
KENITH K PARESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 WILSHIRE BLVD STE 406, LOS ANGELES, CA 90025-1785
(424) 248-8325
(310) 943-2161
Mailing address
11740 SAN VICENTE BLVD # 109440, LOS ANGELES, CA 90049-6610
(310) 659-9566
(310) 360-6777
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A66233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A662330
—
CA
Enumeration date
06/20/2006
Last updated
11/04/2025
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