Organization
MICHAEL M. KERAMATI, DO A MEDICAL CORPORATION
Active
Organization
MICHAEL M. KERAMATI, DO A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER CALDERON MA, RDA (OFFICE MANAGER)
(818) 990-5588
Entity
Organization
Contact information
Practice address
16550 VENTURA BLVD STE 214, ENCINO, CA 91436-2055
(818) 990-5588
Mailing address
16550 VENTURA BLVD. SUITE 214, ENCINO, CA 91436
(818) 990-5588
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20A8906
CA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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