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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1760444731 NPPES
California MEDICAID 00A828550
California Other A82855
California Other 00A82855

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