| Ksk Nursing Corporation | |
|
1251 W Redondo Beach Blvd Ste 201 Gardena CA 90247-3457 | |
| (310) 387-2054 | |
| Not Available |
| Full Name | Ksk Nursing Corporation |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1251 W Redondo Beach Blvd Ste 201, Gardena, California |
| Authorized Official Name and Position | Khadeer Khan (DIRECTOR) |
| Authorized Official Contact | 3103872054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksk Nursing Corporation 506 Phelan Ln Redondo Beach CA 90278-5309 Ph: (310) 387-2054 | Ksk Nursing Corporation 1251 W Redondo Beach Blvd Ste 201 Gardena CA 90247-3457 Ph: (310) 387-2054 |
| NPI Number | 1497503130 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497503130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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