Organization
KENNETH P DIZON D.O INC
Active
Organization
KENNETH P DIZON D.O INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P DIZON DO (CEO/PRESIDENT)
(760) 256-1004
Entity
Organization
Contact information
Practice address
930 W MAIN ST, BARSTOW, CA 92311-2654
(760) 256-1004
(760) 256-1055
Mailing address
930 W MAIN ST, BARSTOW, CA 92311-2654
(760) 256-1004
(760) 256-1055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20A15716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930
PERSONAL
CA
Enumeration date
01/19/2018
Last updated
03/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up