Organization
CHERYL L KELLOGG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L KELLOGG M.D. (PRESIDENT)
(949) 342-1780
Entity
Organization
Contact information
Practice address
30131 TOWN CENTER DR, SUITE 215, LAGUNA NIGUEL, CA 92677-2034
(949) 342-1780
Mailing address
30100 TOWN CENTER DR, SUITE O #437, LAGUNA NIGUEL, CA 92677-2064
(949) 342-1780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
05/23/2014
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