Individual
DR. CHARLES ABRAHAM KELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
32144 AGOURA RD, STE 105, WESTLAKE VILLAGE, CA 91361
(818) 706-1924
(818) 706-1369
Mailing address
2121 WILSHIRE BLVD, STE 101, SANTA MONICA, CA 90403-5742
(310) 828-0011
(310) 828-2001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953499550
TAX ID
—
05
—
GR0000440
—
CA
Enumeration date
01/04/2006
Last updated
06/19/2018
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