KBG Med Clinic and Urgent Care, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

KBG MED CLINIC AND URGENT CARE, INC.

Practice address

5353 Balboa Blvd Ste 201
Encino, CA 91316-2865

Phone

(818) 788-7840

Fax

(818) 788-7842

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kaysan Ghasseminejad, NA

Title

President

Phone

(310) 892-5501

Specialties & licenses 1

Addresses

Other names 2

• FAMILY MED CLINIC AND PEDIATRICS URGENT CARE Doing business as
• FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE Doing business as

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1669966651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD STE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162865",
            "telephone_number": "818-788-7840",
            "fax_number": "818-788-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD STE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162865",
            "telephone_number": "818-788-7840",
            "fax_number": "818-788-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBG MED CLINIC AND URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GHASSEMINEJAD",
        "authorized_official_first_name": "KAYSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-892-5501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MED CLINIC AND PEDIATRICS URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Freya - Kay, M.A.
• Jana L Kaye, DDS
• Nazig Kayekjian, M.S., MFT
• David M Kayne, M.D.
• Ani Kazarian, O.D.
• KC Medical
• Kourosh Keikhanzadeh, D.D.S., M.D.SC
• Colleen M Kelly
• Dalia Kenig
• Uri A Kenig, PH.D.

• Urgent Care Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.