DAVID M. KELLEY, M.D., A MEDICAL CORPORATION
Osteopathic Medicine at Olympic Blvd, Beverly Hills, CA

License number
California G59774
Category
Osteopathic Medicine
Type
Critical Care Medicine
Owner
Name: DAVID M KELLEY M.D.
Title: CHIEF EXECUTIVE OFFICE
Phone: (310) 277-2255
Address
Address 2
8950 W Olympic Blvd, Beverly Hills, CA 90211
Po Box V, Mountain View, CA 94040
National Provider ID: 1417018219
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID M. KELLEY, M.D., A MEDICAL CORPORATION

8950 W Olympic Blvd, Beverly Hills, CA 90211

Status:
Inactive
Registration:
Oct 1, 2003
State ID:
C2554838
Business type:
Articles of Incorporation
Presidents:
David Morse Kelley President, inactive,David M. Kelly President, inactive
Agent:
Kevan Ann Kelley,Beverly Hills, CA 90212 (Physical)

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