Healthcare Provider Details

I. General information

NPI: 1972467868
Provider Name (Legal Business Name): KENNETH M. RICE, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11513 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2309
US

IV. Provider business mailing address

11513 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2309
US

V. Phone/Fax

Practice location:
  • Phone: 747-367-1041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GAREGIN MELKONYAN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 747-367-1041