Organization
PORTER RANCH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERIE KEH D.A.O.M (PRESIDENT)
(818) 831-8000
Entity
Organization
Contact information
Practice address
11177 TAMPA AVENUE, SUITE A, PORTER RANCH, CA 91326-2254
(818) 831-8000
(818) 831-8005
Mailing address
11177 TAMPA AVENUE, SUITE A, PORTER RANCH, CA 91326-2254
(818) 831-8000
(818) 831-8005
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A22208
CA
Other
Enumeration date
08/25/2006
Last updated
03/23/2011
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