Healthcare Provider Details

I. General information

NPI: 1023162088
Provider Name (Legal Business Name): THOMAS L KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8376 TERRANOVA CIR
HUNTINGTON BEACH CA
92646-7644
US

IV. Provider business mailing address

8376 TERRANOVA CIR
HUNTINGTON BEACH CA
92646-7644
US

V. Phone/Fax

Practice location:
  • Phone: 714-392-1584
  • Fax:
Mailing address:
  • Phone: 714-392-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG12311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: