| Kent L. Powell, M.d., Inc. | |
|
30011 Ivy Glenn Dr Suite 105 B Laguna Niguel CA 92677-5014 | |
| (949) 363-9842 | |
| (949) 388-5232 |
| Full Name | Kent L. Powell, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 30011 Ivy Glenn Dr, Laguna Niguel, California |
| Authorized Official Name and Position | Kent L. Powell (PRESIDENT) |
| Authorized Official Contact | 9493639842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent L. Powell, M.d., Inc. 31407 East Nine Drive Laguna Niguel CA 92677-2911 Ph: (949) 363-9842 | Kent L. Powell, M.d., Inc. 30011 Ivy Glenn Dr Suite 105 B Laguna Niguel CA 92677-5014 Ph: (949) 363-9842 |
| NPI Number | 1194734046 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194734046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C24137 (California) | Primary |
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