Organization
DO MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DO MD (OWNER)
(818) 484-6592
Entity
Organization
Contact information
Practice address
411 N CENTRAL AVE STE 235, GLENDALE, CA 91203-2059
(818) 484-6592
Mailing address
18107 SHERMAN WAY STE 204, RESEDA, CA 91335-8802
(818) 484-6592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
01/18/2024
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