Organization
KENITH K PARESA, MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENITH K PARESA MD (PRESIDENT)
(310) 659-9566
Entity
Organization
Contact information
Practice address
1964 WESTWOOD BLVD STE 435, LOS ANGELES, CA 90025
(310) 856-9488
Mailing address
15332 ANTIOCH ST # 530, PACIFIC PALISADES, CA 90272-3628
(310) 874-8430
(714) 917-4620
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A66233
CA
Other
Enumeration date
02/18/2010
Last updated
07/03/2019
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