KENNETH LALAS

MANHATTAN BEACH, CA
NPI1912458290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005230)
Enumeration Date2016-10-20
Last Update Date2016-10-20
Business Address
-- KENNETH LALAS
111 N SEPULVEDA BLVD STE 210
MANHATTAN BEACH, CA 90266-6849
Phone number: 310-379-2134
Mailing Address
-- KENNETH LALAS
40977 BANKHALL ST
LAKE ELSINORE, CA 92532-1640
Phone number: 213-905-8608
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