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KPG ASTORIA LLC NPI 1386009041


NPI Information

NPI: 1386009041
Provider Name: KPG ASTORIA, LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
9000 W SUNSET BLVD STE 1500
WEST HOLLYWOOD, CA
ZIP 90069
Phone: (310) 975-1450
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KPG ASTORIA, LLC is an addiction medicine internal medicine in West Hollywood, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. KPG ASTORIA, LLC NPI is 1386009041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9000 W SUNSET BLVD STE 1500
WEST HOLLYWOOD, CA
ZIP 90069-815
Phone: (310) 975-1450

The provider's authorized official is Darryl Olivier .
The authorized official title is Chief Operations Officer and has the following contact phone number (310) 975-1450.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction MedicineMD168198OREGONYes

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: 5/5/2024

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