Organization
KEDREN INTEGRATED CARE SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H GRIFFITH PH.D. (PRESIDENT/CEO)
(323) 233-0425
Entity
Organization
Contact information
Practice address
4211 AVALON BLVD, BUILDING A, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
4211 AVALON BLVD, BUILDING A, LOS ANGELES, CA 90011-5622
(323) 233-0425
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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