Organization
STEPHEN L KUCHENBECKER M D INC A PROF CORP
Active
Other names
Pacific Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L KUCHENBECKER MD (PRESIDENT)
(310) 829-9400
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD STE 685W, SANTA MONICA, CA 90404-2186
(310) 829-9400
(310) 829-6764
Mailing address
2001 SANTA MONICA BLVD STE 685W, SANTA MONICA, CA 90404-2186
(310) 829-9400
(310) 829-6764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G30063
CA
Other
Enumeration date
12/06/2006
Last updated
07/28/2014
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