Organization
K C MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREASA DAVIS M.D. (PRESIDENT)
(818) 729-0014
Entity
Organization
Contact information
Practice address
191 S BUENA VISTA ST STE 375, BURBANK, CA 91505-4558
(818) 729-0014
(818) 729-0019
Mailing address
10648 WOODBRIDGE ST UNIT 302, NORTH HOLLYWOOD, CA 91602-3630
(818) 729-0014
(818) 729-0019
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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