Organization Active NPI

KHT Medical Center, Inc.

  • General Practice Physician
  • Toluca Lake, CA
National Provider Identifier
1962716423
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A44107 Issued in CA
Legal business name
KHT MEDICAL CENTER, INC.
Practice address
10745 Riverside Dr
Suite # D
Toluca Lake, CA 91602-2371
Phone
(818) 623-0195
Fax
(818) 623-8933
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Thomas Hunt Kenneth, M.D.
Title
Ceo
Phone
(818) 623-0195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A44107 CA Primary

Addresses

Primary practice location

10745 Riverside Dr
Suite # D
Toluca Lake, CA 91602-2371

Mailing address

10745 Riverside Dr
Suite # D
Toluca Lake, CA 91602-2371
Phone (818) 623-0195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1962716423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 RIVERSIDE DR",
            "address_2": "SUITE # D",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022371",
            "telephone_number": "818-623-0195",
            "fax_number": "818-623-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 RIVERSIDE DR",
            "address_2": "SUITE # D",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022371",
            "telephone_number": "818-623-0195",
            "fax_number": "818-623-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHT MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "KENNETH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HUNT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-623-0195",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A44107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.