Laguna Beach Obgyn, Inc.

NPI 1255455978 - Specialist - 174400000X

NPI Details
NPI 1255455978
Enumeration Date 03/19/2007
Last Updated 09/18/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH ANDREW KENNETH
Position PRESIDENT
Phone (949) 499-2258
Fax (949) 499-5697
Practice Location
31852 COAST HWY
SUITE 204
LAGUNA BEACH CA, 92651-6764, US
Phone (949) 499-2258
Fax (949) 499-5697
Business Location
31852 COAST HWY
SUITE 204
LAGUNA BEACH CA, 92651-6764, US
Phone (949) 499-2258
Fax (949) 499-5697
Toxanomy
Taxonomy Code 174400000X
License State California
License Number C52576
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According to our database, Laguna Beach Obgyn, Inc. NPI is 1255455978, taxonomy code is 174400000X and license number is C52576, license state is located at California. Laguna Beach Obgyn, Inc. physically located at 31852 Coast Hwy, Laguna Beach CA, 92651-6764. NPI Number 1033115704 has the healthcare provider type.

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1255455978 NPI number is provided on an as is basis without warranty of any kind. 1255455978 is maintained by the National Plan & Provider Enumeration System. The contents of Laguna Beach Obgyn, Inc. are for informational purposes only.