Albert J. Kettenis, MD Valid NPI
Individual provider · Psychiatry Physician · Sylmar, CA
- NPI
- 1104085299
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0800X
- License number
- G19319 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-06-04
- Last updated
- 2008-06-04
Practice location
14445 Olive View Drive
Sylmar, CA 91342
(818) 364-3343