O'Brien, Kevin Charles
O'Brien, Kevin Charles is an individual health care provider with primary practice located at 2801 Atlantic Ave 3Rd Floor, Long Beach CA 90806-1701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. O'Brien, Kevin Charles can be contacted via phone (562) 933-8743.Contact Information
Primary practice address
2801 Atlantic Ave 3Rd Floor
Long Beach CA 90806-1701
Phone: (562) 933-8743
Fax: (562) 933-8764
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A82855 | California |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | A82855 | California |
Profile Details
NPI number | 1760444731 |
---|---|
LBN Legal business name | O'Brien, Kevin Charles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2006 |
Last updated | Mar 25th, 2008 - about 16 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 | 1760444731 | NPPES |
California | MEDICAID | 00A828550 | |
California | Other | A82855 | |
California | Other | 00A82855 |
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