Individual
CAROLYN L. KALOOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, 1ST FLOOR, LOS ANGELES, CA 90033-5310
(323) 442-5900
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A1314172
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A114172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114172
CA MEDICAL LICENSE
CA
Enumeration date
05/09/2011
Last updated
11/27/2023
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