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Organization

IV KICKS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANA LALEHZARI RN (OWNER, ADMINISTRATOR)
(845) 323-2884
Entity
Organization

Contact information

Practice address
6535 WILSHIRE BLVD STE 103, LOS ANGELES, CA 90048-4962
(845) 323-2884
Mailing address
1417 STEARNS DR, LOS ANGELES, CA 90035-3915

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary

Other

Enumeration date
08/30/2024
Last updated
08/30/2024
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