Organization
KECK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CARLSON MD (CLINICAL INSTRUCTOR)
(805) 458-0306
Entity
Organization
Contact information
Practice address
1510 SAN PABLO ST, SUITE 322, LOS ANGELES, CA 90033-5320
(323) 442-7419
Mailing address
1510 SAN PABLO ST, SUITE 322, LOS ANGELES, CA 90033-5320
(323) 442-7419
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A109957
CA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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