Grant, Kenneth E.
Grant, Kenneth E. is an individual health care provider with primary practice located at 1201 W La Veta Ave , Orange CA 92868-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Grant, Kenneth E. can be contacted via phone (714) 509-4099.Contact Information
Primary practice address
1201 W La Veta Ave
Orange CA 92868-4203
Phone: (714) 509-4099
Fax: (714) 509-4063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | G60289 | California |
Profile Details
| NPI number | 1154414225 |
|---|---|
| LBN Legal business name | Grant, Kenneth E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154414225 | NPPES |
| California | MEDICAID | 00G165430 |
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