Organization
CHARLES L KIMELMAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L. KIMELMAN M.D, INC (PRESIDENT)
(818) 881-9117
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, SUITE #315, TARZANA, CA 91356
(818) 881-9117
(818) 881-0714
Mailing address
5525 ETIWANDA AVE, SUITE #315, TARZANA, CA 91356
(818) 881-9117
(818) 881-0714
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G24368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2483018
—
CA
Enumeration date
03/17/2011
Last updated
03/17/2011
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