Individual
MR. KENNETH J VANDERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23181 VERDUGO DR STE 103A, LAGUNA HILLS, CA 92653-1313
(949) 366-1053
Mailing address
8765 AERO DR, SUITE 130, SAN DIEGO, CA 92123
(858) 541-0181
(858) 430-0919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9105536
FL
363AM0700X
Medical Physician Assistant
Primary
PA21190
CA
Other
Enumeration date
08/12/2010
Last updated
04/29/2022
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