Individual
KEVIN LEE METROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E 2ND AVE, SUITE 260, ESCONDIDO, CA 92025-4212
(866) 228-2236
(760) 737-3430
Mailing address
332 S JUNIPER ST, SUITE 100, ESCONDIDO, CA 92025-4941
(760) 291-6621
(760) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G71444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G7144400
—
CA
01
—
CB223099
MEDICARE PTAN
CA
Enumeration date
06/08/2005
Last updated
06/23/2015
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