Individual
GEOFFREY KU KENYOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N MAIN ST, PEDIATRICS, SANTA ANA, CA 92701-3576
(714) 456-7011
Mailing address
18081 BEACH BLVD, HUNTINGTON BEACH, CA 92648-1304
(714) 841-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A106855
CA
Other
Enumeration date
09/29/2008
Last updated
10/21/2021
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