Organization
KHT CARE PLUS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H THOMAS M.D. (PRESIDENT/ CEO)
(818) 637-4838
Entity
Organization
Contact information
Practice address
705 IVY ST, GLENDALE, CA 91204-1003
(818) 637-4838
(818) 637-4857
Mailing address
705 IVY ST, GLENDALE, CA 91204-1003
(818) 637-4838
(818) 637-4857
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A44107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A44107
LICENSE
CA
Enumeration date
12/10/2012
Last updated
12/10/2012
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