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1699279679
KENNY A KARYADI
LOS ANGELES, CA
NPI
1699279679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA PSY29812)
Enumeration Date
2018-03-22
Last Update Date
2021-12-03
Business Address
KENNY A KARYADI PhD
11835 W OLYMPIC BLVD STE 1265E
LOS ANGELES, CA 90064-5814
Phone number: 310-273-4843
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Mailing Address
KENNY A KARYADI PhD
268 W HOSPITALITY LN STE 300
SAN BERNARDINO, CA 92408-3241
Phone number: 909-651-4518
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