Healthcare Provider Details

I. General information

NPI: 1073702999
Provider Name (Legal Business Name): DENNIS KESSLER O.M.D., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 06/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N CAMDEN DR SUITE 980
BEVERLY HILLS CA
90210-4532
US

IV. Provider business mailing address

414 N CAMDEN DR SUITE 980
BEVERLY HILLS CA
90210-4532
US

V. Phone/Fax

Practice location:
  • Phone: 310-552-0649
  • Fax:
Mailing address:
  • Phone: 310-552-0649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 516
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: