DR. KENNETH KAMBIZ GHEYSAR M.D. NPI 1609992171

NPI Information

NPI: 1609992171
Provider Name: DR. KENNETH KAMBIZ GHEYSAR, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 306-2566
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DR. Kenneth Kambiz Gheysar, M.D. is an addiction medicine family medicine in Laguna Hills, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Kenneth Kambiz Gheysar, M.D. NPI is 1609992171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA
ZIP 92653-537
Phone: (949) 306-2566

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/29/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	G 71924	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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