| DO Medical Corporation | |
|
411 N Central Ave Ste 235 Glendale CA 91203-2059 | |
| (818) 484-6592 | |
| Not Available |
| Full Name | DO Medical Corporation |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Neuromuscular Medicine |
| Location | 411 N Central Ave Ste 235, Glendale, California |
| Authorized Official Name and Position | Kevin DO (OWNER) |
| Authorized Official Contact | 8184846592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| DO Medical Corporation 18107 Sherman Way Ste 204 Reseda CA 91335-8802 Ph: (818) 484-6592 | DO Medical Corporation 411 N Central Ave Ste 235 Glendale CA 91203-2059 Ph: (818) 484-6592 |
| NPI Number | 1437723145 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437723145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | () | Primary |
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