Individual
DR. JOHN CHARLES KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5528 E LA PALMA AVE, SUITE 4-A, ANAHEIM, CA 92807-2115
(714) 970-0200
(714) 970-0270
Mailing address
5528 E LA PALMA AVE, SUITE 4-A, ANAHEIM, CA 92807-2115
(714) 970-0200
(714) 970-0270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A4275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX42750
—
CA
Enumeration date
06/22/2006
Last updated
04/17/2014
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