Kendall, Jon H.

Kendall, Jon H. is an sole proprietor health care provider with primary practice located at 1125 E 17Th St N-455, Santa Ana CA 92701-2201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kendall, Jon H. can be contacted via phone (714) 835-0141.

Contact Information

Primary practice address
1125 E 17Th St N-455 Santa Ana CA 92701-2201
Phone: (714) 835-0141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6974T California

Profile Details

NPI number 1861606402
LBN Legal business name Kendall, Jon H.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Jan 8th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861606402 NPPES
California MEDICAID SDOO6974O

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