Individual
KENNETH C WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3080 BRISTOL ST, SUITE 600, COSTA MESA, CA 92626-3093
(714) 445-0220
(714) 445-0246
Mailing address
3080 BRISTOL ST, SUITE 600, COSTA MESA, CA 92626-3093
(714) 445-0220
(714) 445-0246
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
231432
NY
Other
Enumeration date
11/20/2006
Last updated
02/14/2020
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