Thaler, Kenneth S

Thaler, Kenneth S is an sole proprietor health care provider with primary practice located at 14642 Newport Ave Ste 270, Tustin CA 92780-6058. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thaler, Kenneth S can be contacted via phone (714) 669-4449.

Contact Information

Primary practice address
14642 Newport Ave Ste 270 Tustin CA 92780-6058
Phone: (714) 669-4449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G37603 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G37603 California

Profile Details

NPI number 1790880250
LBN Legal business name Thaler, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Nov 21st, 2007 - 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 1790880250 NPPES
California MEDICAID 00G376030

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