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NPI Code Detail

MEDICARE: KENNETH ROLANDO GIRON

MEDICARE: KENNETH ROLANDO GIRON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA
2106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1194004424
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH ROLANDO GIRON
Provider Business Mailing Address
First Line : 1301 E ORANGEWOOD AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6807
Country : US
Telephone Number : 800-249-1266
Fax Number :
Provider Business Practice Location Address
First Line : 1301 E ORANGEWOOD AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6807
Country : US
Telephone Number : 800-249-1266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 02/17/2025

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Directions to “ KENNETH ROLANDO GIRON ” Practice Location

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