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Organization

KEOLA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY NGUYEN (CEO)
(714) 406-8698
Entity
Organization

Contact information

Practice address
10941 BLOOMFIELD ST STE G, LOS ALAMITOS, CA 90720-6708
(714) 406-8698
Mailing address
10941 BLOOMFIELD ST STE G, LOS ALAMITOS, CA 90720-6708
(714) 406-8698

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
10/24/2024
Last updated
10/24/2024
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