Organization
KIZ LLC
Active
Other names
EPOCA DORADA ADCHS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MARTINEZ PA-C (PRESIDENT)
(213) 483-3600
Entity
Organization
Contact information
Practice address
4055 E OLYMPIC BLVD STE 205, LOS ANGELES, CA 90023-3345
(323) 725-1144
(323) 725-1153
Mailing address
4055 E OLYMPIC BLVD STE 205, LOS ANGELES, CA 90023-3345
(323) 725-1144
(323) 725-1153
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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