Individual
DR. KENNETH LEONARD NUDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N. TUSTIN AVE, SUITE 304, SANTA ANA, CA 92705-3601
(714) 542-7996
(714) 542-3011
Mailing address
4790 IRVINE BLVD., SUITE 105 PMB 241, IRVINE, CA 92620-1998
(714) 542-7996
(714) 542-3011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G37407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G374070
—
CA
Enumeration date
04/06/2006
Last updated
10/25/2013
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