MEDICARE: THOMAS L KUHN M.D.

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
1	207Q00000X	Family Medicine Physician	G12311	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G12311	OTHER	CA	PIN AND STATE LICENSE NUM

General Provider Information

NPI Number	:	1023162088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS L KUHN M.D.

Provider Business Mailing Address
First Line	:	8376 TERRANOVA CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-7644
Country	:	US
Telephone Number	:	714-392-1584
Fax Number	:

Provider Business Practice Location Address
First Line	:	8376 TERRANOVA CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-7644
Country	:	US
Telephone Number	:	714-392-1584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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