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Organization

KMD LP

Active
Other names
SAN MARINO IN THE DESERT
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TATYANA KRIVITSKY (SUPERVISOR)
(818) 371-3474
Entity
Organization

Contact information

Practice address
2017 W AVENUE K13, LANCASTER, CA 93536-4635
(818) 371-3474
Mailing address
4221 COLFAX AVE UNIT F, STUDIO CITY, CA 91604-2952

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550003405
CA

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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