Gheysar, Kenneth Kambiz

Gheysar, Kenneth Kambiz is an sole proprietor health care provider with primary practice located at 23046 Avenida De La Carlota Ste 600 , Laguna Hills CA 92653-1537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Gheysar, Kenneth Kambiz can be contacted via phone (949) 306-2566.

Contact Information

Primary practice address
23046 Avenida De La Carlota Ste 600 Laguna Hills CA 92653-1537
Phone: (949) 306-2566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X G 71924 California

Profile Details

NPI number 1609992171
LBN Legal business name Gheysar, Kenneth Kambiz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Apr 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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