Individual
KENNETH ALLEN GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2145
(323) 664-7327
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2145
(323) 664-7327
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
G26159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G261590
—
CA
Enumeration date
09/02/2006
Last updated
02/28/2008
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