| Kht Medical Center, Inc. | |
|
10745 Riverside Dr Suite # D Toluca Lake CA 91602-2371 | |
| (818) 623-0195 | |
| (818) 623-8933 |
| Full Name | Kht Medical Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 10745 Riverside Dr, Toluca Lake, California |
| Authorized Official Name and Position | Thomas Hunt Kenneth (CEO) |
| Authorized Official Contact | 8186230195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kht Medical Center, Inc. 10745 Riverside Dr Suite # D Toluca Lake CA 91602-2371 Ph: (818) 623-0195 | Kht Medical Center, Inc. 10745 Riverside Dr Suite # D Toluca Lake CA 91602-2371 Ph: (818) 623-0195 |
| NPI Number | 1962716423 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962716423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A44107 (California) | Primary |
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