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General NPI Number Information
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NPI Number | 1265642185
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Entity Type | Organization
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Legal Business Name | STEVEN A. DRELL M D & H. LEE KAGAN M D, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 13320 RIVERSIDE DR SUITE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2502
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Country | US
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Telephone | 818-784-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 13320 RIVERSIDE DR SUITE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2502
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Country | US
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Telephone | 818-784-9905
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEVEN A DRELL
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Credential | MD
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Telephone | 818-784-9905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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