Individual
DR. ALBERT J. KETTENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14445 OLIVE VIEW DRIVE, SYLMAR, CA 91342
(818) 364-3343
Mailing address
14445 OLIVE VIEW DRIVE, SYLMAR, CA 91342
(818) 364-3343
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G19319
CA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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