MEDICARE: KM NETWORK 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
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4127612373	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1427612373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KM NETWORK INC

Provider Business Mailing Address
First Line	:	23693 CALABASAS RD STE B
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-3467
Country	:	US
Telephone Number	:	818-403-3072
Fax Number	:	818-356-8804

Provider Business Practice Location Address
First Line	:	23693B CALABASAS RD
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1502
Country	:	US
Telephone Number	:	818-403-3072
Fax Number	:	818-356-8804

Authorized Official
Title or Position	:	CEO/PIC
Name	:	GRETA GOLDSHTEIN
Credential	:
Telephone Number	:	818-403-3072

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	12/09/2025

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Directions to “KM NETWORK INC ” Practice Location

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