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General NPI Number Information
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NPI Number | 1265839658
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Entity Type | Organization
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Legal Business Name | S J KAL INC.
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 18406 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4107
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Country | US
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Telephone | 818-477-2337
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Fax | 818-936-0844
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Provider Business Mailing Address
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Address Line | 18406 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4107
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Country | US
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Telephone | 818-477-2337
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Fax | 818-936-0844
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Authorized Official
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Title or Position | INTERVENTIONAL CARDIOLOGIST / CEO
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Name | DR. SAM JOSEPH KALIOUNDJI
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Credential | MD
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Telephone | 818-257-0337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A105168
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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