Gountoumas, Kasiani

Gountoumas, Kasiani is an sole proprietor health care provider with primary practice located at 1900 Pico Blvd , Santa Monica CA 90405-1628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gountoumas, Kasiani can be contacted via phone (310) 434-4262.

Contact Information

Primary practice address
1900 Pico Blvd Santa Monica CA 90405-1628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15137 California

Profile Details

NPI number 1194180646
LBN Legal business name Gountoumas, Kasiani
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2015
Last updated Dec 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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