Individual
KENNETH H GEIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12321 HAWTHORNE BLVD, HAWTHORNE, CA 90250-3840
(310) 679-1441
(310) 973-1489
Mailing address
12321 HAWTHORNE BLVD, HAWTHORNE, CA 90250-3840
(310) 679-1441
(310) 973-1489
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G23229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G23229
STATE LICENSE
CA
Enumeration date
06/13/2008
Last updated
12/17/2015
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