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Organization

KENNETH RICH MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH RICH MD (OWNER)
(323) 583-6052
Entity
Organization

Contact information

Practice address
2640 ZOE AVE, HUNTINGTON PARK, CA 90255-4132
(323) 583-6052
(323) 589-3729
Mailing address
2640 ZOE AVE, HUNTINGTON PARK, CA 90255-4132
(323) 583-6052
(323) 589-3729

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A50272
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A502720
CA
Enumeration date
08/09/2007
Last updated
08/09/2007
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