Healthcare Provider Details

I. General information

NPI: 1427612373
Provider Name (Legal Business Name): KM NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23693B CALABASAS RD
CALABASAS CA
91302-1502
US

IV. Provider business mailing address

23693 CALABASAS RD STE B
CALABASAS CA
91302-3467
US

V. Phone/Fax

Practice location:
  • Phone: 818-403-3072
  • Fax: 818-356-8804
Mailing address:
  • Phone: 818-403-3072
  • Fax: 818-356-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GRETA GOLDSHTEIN
Title or Position: CEO/PIC
Credential:
Phone: 818-403-3072