Organization
KENNETH K. WOGENSEN, MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH K WOGENSEN MD (PRESIDENT)
(626) 566-2866
Entity
Organization
Contact information
Practice address
1015 NORTH FIRST AVENUE, SUITE A, ARCADIA, CA 91006-2534
(626) 566-2866
(626) 566-2850
Mailing address
1015 NORTH FIRST AVENUE, SUITE A, ARCADIA, CA 91006-2534
(626) 566-2866
(626) 566-2850
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G52870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G52870
STATE LICENSE
CA
Enumeration date
03/14/2006
Last updated
03/07/2023
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