Individual provider · Type 1 NPI
Kenneth Kambiz Gheysar, MD
Addiction Medicine (Family Medicine) Physician · Laguna Hills, CA
NPI number
1609992171
Active
Practice location
23046 Avenida De La Carlota Ste 600
Laguna Hills, CA 92653-1537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | G 71924 (CA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1609992171
Kenneth Kambiz Gheysar, MD's National Provider Identifier is 1609992171, issued on Mar 22, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Laguna Hills, CA. The record was last updated on Apr 29, 2022.