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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH J VANDERBECK, PA-C

Active

MR. KENNETH J VANDERBECK, PA-C is a Medical Physician Assistant healthcare provider located in LAGUNA HILLS, California. NPI 1144535220 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAGUNA HILLS, CA

Registration Details

NPI Number
1144535220
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2010 (16.01745858612 yrs)
Last Updated
Apr 29, 2022
Licenses
PA9105536 (FL)
PA21190 (CA)

Practice Information

Address
23181 VERDUGO DR STE 103A
LAGUNA HILLS, CA, 926531313
Browse CA providers · Browse ZIP 92653
Phone
9493661053
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LAGUNA HILLS, CA

Name Credential NPI
MRS. CHRISTINE EVELYN FRITZ PA-C 1376540575
MRS. DONNA ROXANNE MURESAN P.A.-C 1912134495
MISS Y NHA THI THI DINH PA-C 1578868998
ANGELINE CICI CHEN PA-C 1821396862
CAROLYN NG PA-C 1164830642
AMIN SHARIF PA-C 1174022818
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.