| NPI | 1033922497 |
|---|---|
| Other Name | JACK KENNIS |
| Former Legal Business Name | JACK KENNIS |
| Entity Type | Organization |
| Authorized Contact | JACK KENNIS CEO 714-692-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-02-13 |