Individual
KURT OPENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 W LA VETA AVE, STE. 850, ORANGE, CA 92868-4225
(714) 560-4450
(714) 560-4455
Mailing address
1140 W LA VETA AVE STE 850, ORANGE, CA 92868-4218
(714) 560-4450
(714) 560-4455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G63924
CA
2085R0204X
Vascular & Interventional Radiology Physician
G63924
CA
Other
Enumeration date
07/19/2005
Last updated
06/06/2019
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