Paresa, Kenith K

Paresa, Kenith K is an sole proprietor health care provider with primary practice located at 6221 Wilshire Blvd Suite 620, Los Angeles CA 90048-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Paresa, Kenith K can be contacted via phone (323) 556-0090.

Contact Information

Primary practice address
6221 Wilshire Blvd Suite 620 Los Angeles CA 90048-5201
Fax: (323) 556-0094
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A66233 California

Profile Details

NPI number 1013952159
LBN Legal business name Paresa, Kenith K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jun 20th, 2012 - about 13 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 1013952159 NPPES
California MEDICAID 00A662330

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