NPI 1003480468

Kevin Jacob Winston

Practitioner Rehabilitation Practitioner Culver City, CA

Practice location

Address: 9808 Venice Blvd STE 700, Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003480468
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2021
Record last updated: 19 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.