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KENNETH K PADDIE A PROFESSIONAL CORP NPI 1003999285


NPI Information

NPI: 1003999285
Provider Name: KENNETH K PADDIE A PROFESSIONAL CORP

Other Name: ORANGE COAST SINUS CENTER

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 05D2284802

Address:
27800 MEDICAL CENTER RD
SUITE 261
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-2555
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KENNETH K PADDIE A PROFESSIONAL CORP is an otolaryngology in Mission Viejo, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. KENNETH K PADDIE A PROFESSIONAL CORP NPI is 1003999285. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Orange Coast Sinus Center.

The provider's business location address is:

27800 MEDICAL CENTER RD
SUITE 261
MISSION VIEJO, CA
ZIP 92691-410
Phone: (949) 364-2555
Fax: (949) 364-0280

The provider's authorized official is Kenneth K Paddie .
The authorized official title is President and has the following contact phone number (949) 364-2555.

The CLIA number assigned to this NPI record is 05D2284802 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 9/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyA24266CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A23885MEDICARE UPINCALIFORNIA
2A24266MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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