Organization
KMK MEDICAL SERVICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KHOUIE MD (CEO)
(949) 395-5835
Entity
Organization
Contact information
Practice address
14742 NEWPORT AVE STE 209, TUSTIN, CA 92780-6177
(949) 395-5835
Mailing address
3334 E COAST HWY # 713, CORONA DEL MAR, CA 92625-2328
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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