Individual
KIMIKO DEANNA KROGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(213) 728-8523
(805) 587-8094
Mailing address
500 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(805) 587-8094
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DHWPTY
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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