Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A91533 | CA |
NPI | 1750431219 |
---|---|
Provider Name | Dr. Adam Rock Kendall |
First Address | Costa Mesa, CA 92627-5007 |
Second Address | Newport Beach, CA 92663-4162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 10/12/2014 |