Organization
PRENDIVILLE PROPERTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JOHN PRENDIVILLE M.D. (PRESIDENT)
(949) 547-3228
Entity
Organization
Contact information
Practice address
11 COBALT DR, DANA POINT, CA 92629-5906
(949) 547-3228
Mailing address
11 COBALT DR, DANA POINT, CA 92629-5906
(949) 547-3228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
09/02/2014
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