Healthcare Provider Details

I. General information

NPI: 1710108261
Provider Name (Legal Business Name): KALMANSOHN & SCHIFF MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 S ROBERTSON BLVD
LOS ANGELES CA
90035-1601
US

IV. Provider business mailing address

852 S ROBERTSON BLVD
LOS ANGELES CA
90035-1601
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-9257
  • Fax:
Mailing address:
  • Phone: 310-659-9257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. PAM CALDERON
Title or Position: BILLING MANAGER
Credential:
Phone: 310-343-8884