Kenneth Richard Scaccia
Nurse's Aide in Culver City, CA. Individual provider (NPI-1).
NPI number1154528016
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154528016
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Richard Scaccia
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | CA | Yes |
Other names
- Kenneth Richard Scaccia (Professional Name)
Practice location
3828 Delmas TerCulver City, CA 90232-2713
Phone 310-945-3350
Mailing address
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone 310-945-3350
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