Kelevate Life PC
Family Medicine, Geriatric Medicine in West Hollywood, CA. Organization (NPI-2).
NPI number1295570554
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1295570554
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelevate Life PC
- Organization subpart
- No
- Enumeration date
- Jun 28, 2024
- Certification date
- Jun 27, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Practice location
7901 Santa Monica Blvd Ste 209West Hollywood, CA 90046-5180
Phone 323-650-9883 · Fax 323-402-5841
Mailing address
7901 Santa Monica Blvd Ste 209West Hollywood, CA 90046-5180
Phone 323-650-9883 · Fax 323-402-5841
Authorized official
Sirak Darbinian
Medical Director/Owner
3236509883
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