Organization
KENNETH G WYS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH G WYS MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
16543 CARMENITA RD, CERRITOS, CA 90703-2218
(562) 219-7251
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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