Teshima, Kenneth Megumi

Teshima, Kenneth Megumi is an sole proprietor health care provider with primary practice located at 24331 El Toro Road, Suite 370 , Laguna Woods CA 92637-3104. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Teshima, Kenneth Megumi can be contacted via phone (949) 951-9207.

Contact Information

Primary practice address
24331 El Toro Road, Suite 370 Laguna Woods CA 92637-3104
Phone: (949) 951-9207
Fax: (949) 588-8826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2103 California

Profile Details

NPI number 1184837098
LBN Legal business name Teshima, Kenneth Megumi
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Sep 4th, 2012 - about 14 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 1184837098 NPPES
California Other 000021929 MEDICARE EDI #
California MEDICAID 000E21030 MEDICARE EDI #

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