Individual
KELLIE KITAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ STE 1517, LOS ANGELES, CA 90095-2924
(310) 267-3710
(310) 794-0599
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
147417
CA
Other
Enumeration date
04/04/2015
Last updated
12/13/2019
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