Organization · Type 2 NPI

KPG Astoria, LLC

Addiction Medicine (Internal Medicine) Physician · West Hollywood, CA

NPI number 1386009041 Active

Practice location

9000 W Sunset Blvd Ste 1500
West Hollywood, CA 90069-5815

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XMD168198 (OR)

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1386009041

KPG Astoria, LLC's National Provider Identifier is 1386009041, issued on Dec 23, 2015. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in West Hollywood, CA. The record was last updated on Dec 23, 2015.