Individual
DR. VIJAYKUMAR RAMCHANDRA KINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2895 EDINGER AVE, TUSTIN, CA 92780-7257
(949) 381-5800
(949) 552-5152
Mailing address
PO BOX 101455, PASADENA, CA 91189-1455
(949) 381-5800
(949) 552-5152
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A84739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A847390
—
CA
Enumeration date
08/26/2005
Last updated
05/02/2017
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