Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH KAMBIZ GHEYSAR, M.D.
Active Sole ProprietorDR. KENNETH KAMBIZ GHEYSAR, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in LAGUNA HILLS, California. NPI 1609992171 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · LAGUNA HILLS, CA
Registration Details
- NPI Number
- 1609992171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.431016453966 yrs)
- Last Updated
- Apr 29, 2022
- License
-
G 71924 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23046 AVENIDA DE LA CARLOTA STE 600LAGUNA HILLS, CA, 926531537Browse CA providers · Browse ZIP 92653
- Phone
- 9493062566
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
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.