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Contact Information

KEN WILKENS MD, INC.
26730 CROWN VALLEY PKWY
SUITE 200
MISSION VIEJO, CA92691-6364
 Phone: 949-364-2154
 Fax: 949-364-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEN WILKENS MD, INC.

NPI Number 1851518880
LBN Legal business name KEN WILKENS MD, INC.
Authorized official KENNETH WILKENS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 07/26/2007 - About 19 years ago
Identifiers
CA License # A80116
Other 1679519649 NPI TYPE 1 (PERSONAL)
CA Other I28424 UPIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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