Dr. Kevin Mark Deitel
Orthopaedic Spine Surgeon
2221 Wankel Way
Oxnard
, California 93030-0192
Dr. Kevin Mark Deitel
Orthopaedic Spine Surgeon
2221 Wankel Way
Oxnard
, California 93030-0192
(805) 830-1177
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kevin Mark Deitel
- 5720 Ralston St Ste 200
- Ventura, CA
- Zip : 93003-7844
- Fax : (805) 830-1177
- Phone : (805) 804-4168
Second Address
- Dr. Kevin Mark Deitel
- 2221 Wankel Way
- Oxnard, CA
- Zip : 93030-0192
- Fax : (805) 483-3747
- Phone : (805) 988-9366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | G85673 | CA |
National Provider Identifier
| NPI | 1033111380 |
|---|---|
| Provider Name | Dr. Kevin Mark Deitel |
| First Address | Ventura, CA 93003-7844 |
| Second Address | Oxnard, CA 93030-0192 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2005 |
| Last Update Date | 27/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G85673 | MEDICAL LICENSE (01) | CA |
| H35473 | UPIN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.