Organization
KEVIN G WALDRON MD FAANS APC
Active
Organization
KEVIN G WALDRON MD FAANS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G WALDRON MD (CEO/OWNER)
(949) 328-9240
Entity
Organization
Contact information
Practice address
24022 CALLE DE LA PLATA STE 415, LAGUNA HILLS, CA 92653-3630
(934) 328-9240
(934) 328-9280
Mailing address
24022 CALLE DE LA PLATA STE 415, LAGUNA HILLS, CA 92653-3630
(934) 328-9240
(934) 328-9280
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11498294
CAQH
CA
01
—
C147602
CALIFORNIAMEDLICENSE
CA
Enumeration date
09/15/2025
Last updated
09/15/2025
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