Individual provider · Type 1 NPI

Kenneth J. Vanderbeck, PA-C

Medical Physician Assistant · Laguna Hills, CA

NPI number 1144535220 Active

Practice location

23181 Verdugo Dr Ste 103A
Laguna Hills, CA 92653-1313

Mailing address

8765 Aero Dr, Suite 130
San Diego, CA 92123

Other practice locations

  • 8765 Aero Dr, Suite 130, San Diego, CA 92123 · (858) 541-0181

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9105536 (FL)
Medical Physician Assistant Primary 363AM0700XPA21190 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1144535220

Kenneth J. Vanderbeck, PA-C's National Provider Identifier is 1144535220, issued on Aug 12, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Laguna Hills, CA. The record was last updated on Apr 29, 2022.