Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 22023 | CA |
NPI | 1023302759 |
---|---|
Provider Name | Dr. Steve Kamph |
First Address | Newport Beach, CA 92663-4700 |
Second Address | Newport Beach, CA 92663-4700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2011 |
Last Update Date | 27/05/2011 |