Individual
KENNETH MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1309 S EUCLID ST STE A, ANAHEIM, CA 92802-2078
(714) 776-1197
(714) 842-6677
Mailing address
1309 S EUCLID ST STE A, ANAHEIM, CA 92802-2078
(714) 776-1197
(714) 842-6677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G53438
CA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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