Luo, Kenyon S

Luo, Kenyon S is an individual health care provider with primary practice located at 4418 Vineland Ave Suite 118, North Hollywood CA 91602-2159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Luo, Kenyon S can be contacted via phone (818) 769-0995.

Contact Information

Primary practice address
4418 Vineland Ave Suite 118 North Hollywood CA 91602-2159
Phone: (818) 769-0995
Fax: (818) 762-0988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A33917 California

Profile Details

NPI number 1114020500
LBN Legal business name Luo, Kenyon S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114020500 NPPES
California MEDICAID A33917

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