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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH LANDIS M D A MEDICAL CORPORATION

Active Organization

KENNETH LANDIS M D A MEDICAL CORPORATION is a Internal Medicine organization located in MARINA DEL REY, California. NPI 1184799520 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MARINA DEL REY, CA

Registration Details

NPI Number
1184799520
Provider Type
Organization
NPI Issued
Nov 21, 2006 (19.74078368444 yrs)
Last Updated
Apr 20, 2017
Licenses
G29787 (CA)
G29787 (CA)
G29787 (CA)

Practice Information

Address
4644 LINCOLN BLVD
SUITE 500
MARINA DEL REY, CA, 902926313
Browse CA providers · Browse ZIP 90292
Phone
3108222255
Fax
3108220044
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Pulmonary Disease
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.