Individual
KRISTENE MYKLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2986
Mailing address
200 S MANCHESTER AVE OFC, ORANGE, CA 92868-3217
(714) 456-2986
(888) 977-2514
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A122173
CA
Other
Enumeration date
05/05/2011
Last updated
03/19/2024
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