Search › California › 1041C0700X
Kevin De Kock
NPI 1356750079 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6762 Lexington Ave
Los Angeles, CA 90038 - Phone
- (323) 380-7590
- Organisation at this address
- Step Up On Second Street, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 143
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X
171M00000X
390200000X - Licence states on file
- CA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California