Vanderbeck, Kenneth J

Vanderbeck, Kenneth J is an individual health care provider with primary practice located at 23181 Verdugo Dr Ste 103A , Laguna Hills CA 92653-1313. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Vanderbeck, Kenneth J can be contacted via phone (949) 366-1053.

Contact Information

Primary practice address
23181 Verdugo Dr Ste 103A Laguna Hills CA 92653-1313
Phone: (949) 366-1053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105536 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21190 California

Profile Details

NPI number 1144535220
LBN Legal business name Vanderbeck, Kenneth J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2010
Last updated Apr 29th, 2022 - about 2 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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