Individual provider · Type 1 NPI
Kenneth Faubel, DO
Military Health Care Provider · San Pedro, CA
NPI number
1396084752
Active
Practice location
United States Coast Guard Medical Clinic, 1001 S. Seaside Ave., Bldg 23
San Pedro, CA 90731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102203951 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1396084752
Kenneth Faubel, DO's National Provider Identifier is 1396084752, issued on Feb 5, 2013. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Pedro, CA. The record was last updated on May 21, 2025.