Organization
SLK DO PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LOUISE KOSSUTH DO (PRESIDENT)
(310) 980-5788
Entity
Organization
Contact information
Practice address
3437 INGLEWOOD BOULEVARD, LOS ANGELES, CA 90066
(310) 980-5788
(310) 391-7713
Mailing address
3437 INGLEWOOD BLVD, LOS ANGELES, CA 90066-1915
(310) 980-5788
(301) 391-7713
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
20A5955
CA
Other
Enumeration date
03/07/2007
Last updated
04/12/2011
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