Organization
KENNETH STARR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GRAY (INSURANCE COORDINATOR)
(626) 797-9977
Entity
Organization
Contact information
Practice address
1320 VAN BEURDEN DR, STE 103, LOS OSOS, CA 93402-3380
(626) 797-9977
(929) 737-8705
Mailing address
295 MAR VISTA DR, LOS OSOS, CA 93402-3700
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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