Organization · NPI-2

Kenneth K Paddie A Professional Corp

Otolaryngology · Mission Viejo, CA

NPI number1003999285
StatusActive
Last updated in NPPESSep 17, 2010

Details

NPI
1003999285
Entity type
Organization (NPI-2)
Legal business name
Kenneth K Paddie A Professional Corp
Organization subpart
No
Enumeration date
Oct 23, 2006
Last updated
Sep 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyA24266CAYes

Other names

  • Orange Coast Sinus Center (Other Name)

Practice location

27800 Medical Center Rd
Suite 261
Mission Viejo, CA 92691-6410

Phone 949-364-2555 · Fax 949-364-0280

Mailing address

27800 Medical Center Rd
Suite 261
Mission Viejo, CA 92691-6410

Phone 949-364-2555 · Fax 949-364-0280

Authorized official

Kenneth K Paddie
President
9493642555

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