Organization
KAYNE ERAS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH WALTER D. PHIL. (INTERIM EXECUTIVE DIRECTOR)
(310) 737-9393
Entity
Organization
Contact information
Practice address
5350 MACHADO LN, CULVER CITY, CA 90230-8800
(310) 737-9393
(310) 737-7944
Mailing address
5350 MACHADO LN, CULVER CITY, CA 90230-8800
(310) 737-9393
(310) 737-7944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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