Individual
DR. KENNETH BERNARD DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24411 HEALTH CENTER DR, SUITE 350, LAGUNA HILLS, CA 92653-3651
(949) 457-7900
(949) 588-8719
Mailing address
24411 HEALTH CENTER DR, SUITE 350, LAGUNA HILLS, CA 92653-3651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G27094
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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