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1609992171
KENNETH KAMBIZ GHEYSAR
LAGUNA HILLS, CA
NPI
1609992171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
(Licence: CA G 71924)
Enumeration Date
2007-03-22
Last Update Date
2022-04-29
Business Address
Dr. KENNETH KAMBIZ GHEYSAR M.D.
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653-1537
Phone number: 949-306-2566
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Mailing Address
Dr. KENNETH KAMBIZ GHEYSAR M.D.
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653-1537
Phone number: 949-306-2566
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