Dr. KENNETH KAMBIZ GHEYSAR M.D.
Individual Provider (NPI-1)
Active
Family Medicine, Addiction Medicine
Provider Information
- NPI Number
1609992171- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 23046 AVENIDA DE LA CARLOTA STE 600, LAGUNA HILLS, CA, 926531537
- Phone
- (949) 306-2566
Specialties & Taxonomies
Family Medicine, Addiction Medicine
Primary License: CA #G 71924