Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G88833 | CA |
NPI | 1154428753 |
---|---|
Provider Name | Dr. Robert Kessler |
First Address | Mission Viejo, CA 92692-1874 |
Second Address | Mission Viejo, CA 92692-1874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2006 |
Last Update Date | 19/08/2013 |