Individual
KENNETH RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 N TUSTIN AVE, STE 130, SANTA ANA, CA 92705-8644
(714) 542-3008
(714) 542-3617
Mailing address
506 16TH ST, HUNTINGTON BEACH, CA 92648-4014
(714) 374-9111
(714) 374-7311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A50272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A502720
—
CA
01
—
930128601
RAILROAD MEDICARE
CA
Enumeration date
07/20/2006
Last updated
05/19/2016
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