Grabow, Kenneth R

Grabow, Kenneth R is an individual health care provider with primary practice located at 1200 N Tustin Ave Ste 100, Santa Ana CA 92705-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Grabow, Kenneth R can be contacted via phone (714) 542-5999.

Contact Information

Primary practice address
1200 N Tustin Ave Ste 100 Santa Ana CA 92705-3508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G66481 California

Profile Details

NPI number 1629089529
LBN Legal business name Grabow, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629089529 NPPES
California Other 183774600 DEPT OF LABOR
California MEDICAID G66481 DEPT OF LABOR

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