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Organization

MA KOYLE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN A KOYLE (CEO)
(818) 212-9943
Entity
Organization

Contact information

Practice address
4924 BALBOA BLVD, SUITE 138, ENCINO, CA 91316-3402
(818) 212-9943
Mailing address
4924 BALBOA BLVD, SUITE 138, ENCINO, CA 91316-3402

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
CA

Other

Enumeration date
05/18/2009
Last updated
05/18/2009
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