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Contact Information

KEVIN D TUBBS, DO
17772 BEACH BLVD
HUNTINGTON BEACH, CA92647
 Phone: 714-842-1473
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEVIN D TUBBS · (Male)

NPI Number 1477504553
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/13/2006
Last updated 07/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A6172
  • CA Medicaid 00AX61720
Hospital affiliation(s)
  • SADDLEBACK MEMORIAL MEDICAL CENTER - (Acute Care)
    24451 HEALTH CENTER DRIVE
    LAGUNA HILLS, CA 92653
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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