Organization
KBG MED CLINIC AND URGENT CARE, INC.
Active
Other names
FAMILY MED CLINIC AND PEDIATRICS URGENT CARE, FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAYSAN GHASSEMINEJAD NA (PRESIDENT)
(310) 892-5501
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD STE 201, ENCINO, CA 91316-2865
(818) 788-7840
(818) 788-7842
Mailing address
5353 BALBOA BLVD STE 201, ENCINO, CA 91316-2865
(818) 788-7840
(818) 788-7842
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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