| Monzer Kaddour Md Inc | |
|
19528 Ventura Blvd 468 Tarzana CA 91356-2917 | |
| (661) 287-3162 | |
| (661) 287-3951 |
| Full Name | Monzer Kaddour Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19528 Ventura Blvd, Tarzana, California |
| Authorized Official Name and Position | Monzer Kaddour (CEO) |
| Authorized Official Contact | 3124514308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monzer Kaddour Md Inc 19528 Ventura Blvd 468 Tarzana CA 91356-2917 Ph: (661) 287-3162 | Monzer Kaddour Md Inc 19528 Ventura Blvd 468 Tarzana CA 91356-2917 Ph: (661) 287-3162 |
| NPI Number | 1942607932 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942607932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C53238 (California) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | C53238 (California) | Secondary |
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