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KEDREN INTEGRATED CARE SYSTEM, INC.
NPI 1104174333
Clinic/Center - Community Health in Los Angeles, CA

Active since August 20, 2012
4211 AVALON BLVD, BUILDING A, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kedren Integrated Care System, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEDREN INTEGRATED CARE SYSTEM, INC. (NPI 1104174333) is a healthcare organization registered as a community health in Los Angeles, California and active in the NPI registry since August 2012. The organization lists John H Griffith, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1104174333
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameKEDREN INTEGRATED CARE SYSTEM, INC.
Location Address4211 AVALON BLVD, BUILDING ALos Angeles, CA 90011-5622
Mailing Address4211 Avalon Blvd, Building ALos Angeles, CA 90011-5622 · (323) 233-0425
Phone(323) 233-0425
Organization SubpartNo
Authorized OfficialJohn H GriffithPresident/ceo · (323) 233-0425
Enumeration DateAugust 20, 2012
✔ NPI 1104174333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
4211 AVALON BLVD, Los Angeles, CA 90011
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kedren Integrated Care System, Inc.'s NPI number?

The NPI number for Kedren Integrated Care System, Inc. is 1104174333. It was assigned to this organization in the NPPES registry on August 20, 2012.

Where is Kedren Integrated Care System, Inc. located?

Kedren Integrated Care System, Inc. is located at 4211 Avalon Blvd Building A, Los Angeles, CA 90011. The listed phone number is (323) 233-0425.

What is Kedren Integrated Care System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Kedren Integrated Care System, Inc. was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.