Individual
CARA STEPHANIE KENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE LVN
Contact information
Practice address
5235 W SUNSET BLVD, LOS ANGELES, CA 90027-5709
(323) 660-0900
(323) 660-0771
Mailing address
20008 GILBERT DR, CANYON COUNTRY, CA 91351-4810
(626) 510-5335
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
0002704429-0001-6
CA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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