Provider Demographics
NPI:1023503992
Name:JUNUS, KEVIN LEE (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:LEE
Last Name:JUNUS
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:2051 MARENGO STREET
Mailing Address - Street 2:D&T 3D321
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033
Mailing Address - Country:US
Mailing Address - Phone:323-442-8541
Mailing Address - Fax:
Practice Address - Street 1:2051 MARENGO STREET
Practice Address - Street 2:D&T 3D321
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-409-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-24
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT0187942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology