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KWB MEDICAL GROUP INC NPI 1366195265


NPI Information

NPI: 1366195265
Provider Name: KWB MEDICAL GROUP, INC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 05D2272232

Address:
7537 LAUREL CANYON BLVD UNIT A
N HOLLYWOOD, CA
ZIP 91605
Phone: (818) 858-0211
Get Directions

KWB MEDICAL GROUP, INC is a geriatric medicine family medicine in N Hollywood, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. KWB MEDICAL GROUP, INC NPI is 1366195265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7537 LAUREL CANYON BLVD UNIT A
N HOLLYWOOD, CA
ZIP 91605-149
Phone: (818) 858-0211

The provider's authorized official is Kevin Berger .
The authorized official title is Owner and has the following contact phone number (818) 858-0211.

The CLIA number assigned to this NPI record is 05D2272232 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C53406OTHERCALIFORNIAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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