KPG ASTORIA, LLC
NPI 1386009041
Internal Medicine - Addiction Medicine in West Hollywood, CA

Active since December 23, 2015
9000 W SUNSET BLVD STE 1500, WEST HOLLYWOOD, CA 90069(310) 975-1450 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine
  • Addiction Medicine

About KPG ASTORIA, LLC

This page provides the complete NPI Profile along with additional information for Kpg Astoria, Llc, an internist established in West Hollywood, California operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1386009041 assigned on December 2015. The practitioner's primary taxonomy code is 207RA0401X with license number MD168198 (OR). The provider is registered as an organization and their NPI record was last updated 11 years ago. Kpg Astoria, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Darryl Olivier (Chief Operations Officer)

NPI
1386009041 Verify this NPI
Provider Name
KPG ASTORIA, LLC
Entity Type
Organization
Location Address
9000 W SUNSET BLVD STE 1500 WEST HOLLYWOOD, CA 90069
Location Phone
(310) 975-1450
Mailing Address
9000 W SUNSET BLVD STE 1500 WEST HOLLYWOOD, CA 90069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2015
Last Update Date
12-23-2015
Code Navigator

An internist like Kpg Astoria, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
License No.
MD168198
License State
OR
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DARRYL OLIVIER

Authorized Official Title
CHIEF OPERATIONS OFFICER
Authorized Official Phone
(310) 975-1450

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Addiction Medicine)
9000 W SUNSET BLVD STE 1500
WEST HOLLYWOOD, CA 90069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386009041, enumerated as an "organization" on December 23, 2015.

The provider is located at 9000 W SUNSET BLVD STE 1500 WEST HOLLYWOOD, CA 90069 and the phone number is (310) 975-1450.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.