Kiowa Enterprises, LLC
NPI #1922286855 in Hermosa Beach, California
Provider Information
- NPI Number
- 1922286855
- Entity Type
- Organization
- Organization Name
- Kiowa Enterprises, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 1, 2008
- Last Updated
- Feb 1, 2008
Practice Location
- Address
- 555 PIER AVE
- Address 2
- SUITE 1-A
- City
- Hermosa Beach
- State
- California
- ZIP Code
- 90254-3839
- Phone
- (310) 374-4176
Authorized Official
- Name
- DR. NOEL L CHUN, M.D.
- Title
- MEMBER
- Phone
- (310) 374-4176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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