Kendall, Jon H.
Kendall, Jon H. is an sole proprietor health care provider with primary practice located at 1125 E 17Th St N-455, Santa Ana CA 92701-2201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kendall, Jon H. can be contacted via phone (714) 835-0141.Contact Information
Primary practice address
1125 E 17Th St N-455
Santa Ana CA 92701-2201
Phone: (714) 835-0141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6974T | California |
Profile Details
| NPI number | 1861606402 |
|---|---|
| LBN Legal business name | Kendall, Jon H. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Jan 8th, 2009 - about 15 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 | 1861606402 | NPPES |
| California | MEDICAID | SDOO6974O |
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