Kms Group Inc | |
1125 Monterey Blvd Hermosa Beach CA 90254-3785 | |
(310) 819-7057 | |
Not Available |
Full Name | Kms Group Inc |
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Speciality | General Practice |
Location | 1125 Monterey Blvd, Hermosa Beach, California |
Authorized Official Name and Position | Kenneth Thomas (CEO) |
Authorized Official Contact | 3108197057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kms Group Inc 1125 Monterey Blvd Hermosa Beach CA 90254-3785 Ph: (310) 819-7057 | Kms Group Inc 1125 Monterey Blvd Hermosa Beach CA 90254-3785 Ph: (310) 819-7057 |
NPI Number | 1346508710 |
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Provider Enumeration Date | 04/24/2012 |
Last Update Date | 04/24/2012 |
Identifier | Type | State | Issuer |
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1346508710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A44107 (California) | Primary |
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