Organization
KENNETH L. NUDLEMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LEONARD NUDLEMAN M.D. (OWNER/PRESIDENT)
(714) 542-7996
Entity
Organization
Contact information
Practice address
801 N. TUSTIN AVE., SUITE 304, SANTA ANA, CA 92705-3608
(714) 542-7996
(714) 542-3011
Mailing address
4790 IRVINE BLVD., SUITE 105-241, IRVINE, CA 92620-1998
(714) 542-7996
(714) 542-3011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G37407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G374070
—
CA
Enumeration date
01/10/2013
Last updated
01/10/2013
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