Individual
DR. KELLY N VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FRCSC
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-5907
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-4123
(626) 457-4125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A122201
CA
2086S0127X
Trauma Surgery Physician
A122201
CA
Other
Enumeration date
07/21/2012
Last updated
11/22/2013
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