| NPI | 1932560174 |
|---|---|
| Doing Business As | KEDREN BH AVALON |
| Entity Type | Organization |
| Authorized Contact | EARLE CHARLES Chief Information Officer 323-432-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-10-02 |