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General NPI Number Information
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NPI Number | 1932912755
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Entity Type | Organization
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Legal Business Name | KB MANAGEMENT CA LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 9730 WILSHIRE BLVD STE 211
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2004
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Country | US
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Telephone | 310-593-3863
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 SAN YSIDRO DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-2103
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Country | US
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Telephone | 310-593-3863
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE BRAUN
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Credential | FNP
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Telephone | 310-593-3863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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