Nudleman, Kenneth Leonard

Nudleman, Kenneth Leonard is an sole proprietor health care provider with primary practice located at 801 N. Tustin Ave Suite 304, Santa Ana CA 92705-3601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nudleman, Kenneth Leonard can be contacted via phone (714) 542-7996.

Contact Information

Primary practice address
801 N. Tustin Ave Suite 304 Santa Ana CA 92705-3601
Phone: (714) 542-7996
Fax: (714) 542-3011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G37407 California

Profile Details

NPI number 1558324145
LBN Legal business name Nudleman, Kenneth Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Oct 25th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558324145 NPPES
California MEDICAID 00G374070

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