<Unavail>

LBN: Jack Kennis Md Inc
<Unavail> is an health care organization with primary practice located at 27080 Big Horn Mountain Way , Yorba Linda CA 92887-4210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jack Kennis Md Inc can be contacted via phone (714) 692-0800, or through Kennis, Jack via phone (714) 692-0800.

Contact Information

Primary practice address
27080 Big Horn Mountain Way Yorba Linda CA 92887-4210
Phone: (714) 692-0800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennis, Jack Doctor of Medicine (MD)
Phone: (714) 692-0800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1033922497
LBN Legal business name Jack Kennis Md Inc
DBA Doing business as <Unavail>
Authorized official Kennis, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2025
Last updated Feb 13th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033922497 NPPES
California Other 1477504249 NPI

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