# PRENDIVILLE PROPERTIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972911097
- **Authorized official:** DR. KEVIN JOHN PRENDIVILLE M.D. (PRESIDENT)
- **Authorized official phone:** (949) 547-3228

## Contact information

- **Practice address:** 11 COBALT DR, DANA POINT, CA 92629-5906
- **Practice address phone:** (949) 547-3228
- **Mailing address:** 11 COBALT DR, DANA POINT, CA 92629-5906
- **Mailing address phone:** (949) 547-3228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 09/02/2014