Organization
KENNETH A. GELLER, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ALLEN GELLER MD (PRESIDENT)
(323) 669-4145
Entity
Organization
Contact information
Practice address
4650 W SUNSET BLVD, CHLA, DIVISION OF OTOLARYNGOLOGY, MS #58, LOS ANGELES, CA 90027-6062
(323) 669-4145
(323) 664-7327
Mailing address
4650 W SUNSET BLVD, CHLA, DIVISION OF OTOLARYNGOLOGY, MS #58, LOS ANGELES, CA 90027-6062
(323) 669-4145
(323) 664-7327
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G26159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G261590
—
CA
Enumeration date
01/05/2007
Last updated
08/22/2020
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