Individual
MR. KEVIN T. DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14161 NEWPORT AVE, TUSTIN, CA 92780-5161
(818) 288-2757
Mailing address
14191 NEWPORT AVE., TUSTIN, CA 92780
(714) 508-7333
(714) 508-7305
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G76640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104078880
—
CA
Enumeration date
10/14/2008
Last updated
08/16/2023
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