| Kwb Medical Group, Inc | |
|
7537 Laurel Canyon Blvd Unit A N Hollywood CA 91605-3149 | |
| (818) 858-0211 | |
| Not Available |
| Full Name | Kwb Medical Group, Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 7537 Laurel Canyon Blvd Unit A, N Hollywood, California |
| Authorized Official Name and Position | Kevin Berger (OWNER) |
| Authorized Official Contact | 8188580211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwb Medical Group, Inc 7537 Laurel Canyon Blvd Unit A N Hollywood CA 91605-3149 Ph: (818) 858-0211 | Kwb Medical Group, Inc 7537 Laurel Canyon Blvd Unit A N Hollywood CA 91605-3149 Ph: (818) 858-0211 |
| NPI Number | 1366195265 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366195265 | NPI | - | NPPES |
| C53406 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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