Mr Kenneth A Kazenelson, MD | |
29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2651 | |
(949) 459-9968 | |
(949) 766-2565 |
Full Name | Mr Kenneth A Kazenelson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 29472 Avenida De Las Bandera, Rancho Santa Margarita, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275539637 | NPI | - | NPPES |
05D1013480 | Other | CA | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A86358 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorialcare Medical Foundation | 8729277314 | 384 |
Entity Name | Memorialcare Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
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Mr Kenneth A Kazenelson, MD 17360 Brookhurst St, Attn: Mcmf- Credentialing Department, Fountain Valley, CA 92708-3720 Ph: () - | Mr Kenneth A Kazenelson, MD 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2651 Ph: (949) 459-9968 |
Alexa Lynn Desilva, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 29809 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688 Phone: 949-290-0410 | |
Jeffrey Vogel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 30151 Avenida De Las Bandera Ste B, Rancho Santa Margarita, CA 92688 Phone: 410-935-4608 | |
Dr. Scott Shiffman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688 Phone: 949-459-9968 Fax: 949-766-2565 | |
Dr. Faranak Chloe Ghazi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29873 Santa Margarita Pkwy Ste 100, Rancho Santa Margarita, CA 92688 Phone: 949-709-0988 Fax: 949-709-8377 | |
Dr. Peter S Desilva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29809 Santa Margarita Pkwy, Suite#300, Rancho Santa Margarita, CA 92688 Phone: 949-709-5100 Fax: 949-709-5151 | |
Dr. Sumant Nagarkar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688 Phone: 949-459-9968 Fax: 949-766-2565 |