Provider Demographics
NPI:1265839658
Name:S J KAL INC.
Entity Type:Organization
Organization Name:S J KAL INC.
Other - Org Name:S J KAL INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERVENTIONAL CARDIOLOGIST / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KALIOUNDJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-257-0337
Mailing Address - Street 1:18406 ROSCOE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4107
Mailing Address - Country:US
Mailing Address - Phone:818-477-2337
Mailing Address - Fax:818-936-0844
Practice Address - Street 1:18406 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4107
Practice Address - Country:US
Practice Address - Phone:818-477-2337
Practice Address - Fax:818-936-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105168207RC0000X
207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty