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NPI Code Detail

MEDICARE: KIANI VALLE HUNTER

MEDICARE: KIANI VALLE HUNTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1184285736
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIANI VALLE HUNTER
Provider Business Mailing Address
First Line : 1200 WILSHIRE BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1919
Country : US
Telephone Number : 213-481-7464
Fax Number : 213-481-7147
Provider Business Practice Location Address
First Line : 1200 WILSHIRE BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1919
Country : US
Telephone Number : 213-481-7464
Fax Number : 213-481-7147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 06/25/2019

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Directions to “ KIANI VALLE HUNTER ” Practice Location

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