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NPI Code Detail

MEDICARE: KAL THERAPY, INC.

MEDICARE: KAL THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1265211569
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAL THERAPY, INC.
Provider Business Mailing Address
First Line : 10155 BURNET AVE
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345-2715
Country : US
Telephone Number : 818-482-4264
Fax Number :
Provider Business Practice Location Address
First Line : 10155 BURNET AVE
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345-2715
Country : US
Telephone Number : 818-482-4264
Fax Number :
Authorized Official
Title or Position : CEO
Name : LIZA MANOUGIAN
Credential :
Telephone Number : 818-482-4264
Provider Enumeration Date : 09/26/2023
Last Update Date : 09/26/2023

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Directions to “KAL THERAPY, INC. ” Practice Location

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