| Cheryl L Kellogg Md Inc | |
|
30131 Town Center Dr Suite 215 Laguna Niguel CA 92677-2034 | |
| (949) 342-1780 | |
| Not Available |
| Full Name | Cheryl L Kellogg Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30131 Town Center Dr, Laguna Niguel, California |
| Authorized Official Name and Position | Cheryl L Kellogg (PRESIDENT) |
| Authorized Official Contact | 9493421780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl L Kellogg Md Inc 30100 Town Center Dr Suite O #437 Laguna Niguel CA 92677-2064 Ph: (949) 342-1780 | Cheryl L Kellogg Md Inc 30131 Town Center Dr Suite 215 Laguna Niguel CA 92677-2034 Ph: (949) 342-1780 |
| NPI Number | 1922300573 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 05/23/2014 |
| Medicare PECOS PAC ID | 3577742378 |
|---|---|
| Medicare Enrollment ID | O20110126000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922300573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheryl Kellogg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376561027 PECOS PAC ID: 7719166511 Enrollment ID: I20110126000386 |
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