KPG OREGON, LLC – NPI #1730552845
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

KPG OREGON, LLC is a provider located in ASTORIA, OR. NPPES has assigned the NPI number 1730552845 to KPG OREGON, LLC on November 11, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 8 years ago on Apr 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KPG OREGON, LLC below.

NPI Profile for
KPG OREGON, LLC

NPI Number
1730552845
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KPG OREGON, LLC
Primary location
486 12TH STREET #200
ASTORIA, OR 97103
Phone: (310) 975-1428 Fax:
Mailing address
9000 SUNSET BLVD #1500
WEST HOLLYWOOD, CA 90069
Phone: (310) 975-1428 Fax:
Organization Subpart
No
Authorized Official
DARRYL OLIVIER
COO
Phone: (310) 975-1450
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)		 OR MD168198

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.