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MR. KEVIN FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA/NP

Contact information

Practice address
1240 N MISSION RD, LOS ANGELES, CA 90033-1019
(323) 409-3750
Mailing address
1240 N MISSION RD, LOS ANGELES, CA 90033-1019
(323) 409-3750

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 14057
CA
363L00000X
Nurse Practitioner
487853
CA

Other

Enumeration date
06/12/2009
Last updated
05/02/2024
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