Provider Demographics
NPI:1194061267
Name:K&K CONSULTATION GROUP INC
Entity type:Organization
Organization Name:K&K CONSULTATION GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-344-2624
Mailing Address - Street 1:3848 DEL AMO BLVD
Mailing Address - Street 2:#303
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2172
Mailing Address - Country:US
Mailing Address - Phone:310-344-2624
Mailing Address - Fax:
Practice Address - Street 1:3848 DEL AMO BLVD
Practice Address - Street 2:#303
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2172
Practice Address - Country:US
Practice Address - Phone:310-344-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:K & K CONSULTANT GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF00342933291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory