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27080 Big Horn Mountain Way Yorba Linda CA 92887-4210 | |
(714) 692-0800 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 27080 Big Horn Mountain Way, Yorba Linda, California |
Authorized Official Name and Position | Jack Kennis (CEO) |
Authorized Official Contact | 7146920800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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27080 Big Horn Mountain Way Yorba Linda CA 92887-4210 Ph: (714) 692-0800 | 27080 Big Horn Mountain Way Yorba Linda CA 92887-4210 Ph: (714) 692-0800 |
NPI Number | 1033922497 |
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Provider Enumeration Date | 01/29/2025 |
Last Update Date | 02/04/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033922497 | NPI | - | NPPES |
1477504249 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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