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KIM CARNAZZOLA M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1629093083

Individual Registrant:
 KIM  CARNAZZOLA M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23815 STUART RANCH RD STE 301  MALIBU, CA 90265-4861 US
Tel: 310-317-0034  Fax: 310-317-0035

Contact information for business:
5767 W CENTURY BLVD STE 400  LOS ANGELES, CA 90045-5631 US
Tel: --  Fax: --

Registration Information:
NPI: 1629093083
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036-085955
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG163194

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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