Kebe MD Group Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

KEBE MD GROUP INC

Practice address

10916 Riverside Dr Ste a
Toluca Lake, CA 91602-2210

Phone

(818) 435-9060

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Berger, MD

Title

Ceo/Owner

Phone

(818) 435-9060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1538908108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 RIVERSIDE DR STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022210",
            "telephone_number": "818-435-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10916 RIVERSIDE DR STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022210",
            "telephone_number": "818-435-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEBE MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-435-9060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.