Individual
KYLE CHRISTIAN DORNHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DRIVE S, RTE. 128-01, ORANGE, CA 92868
(714) 456-8116
Mailing address
101 THE CITY DRIVE S, RTE. 128-01, ORANGE, CA 92868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A177990
CA
390200000X
Student in an Organized Health Care Education/Training Program
STUDENT
CA
Other
Enumeration date
03/22/2020
Last updated
02/09/2023
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