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Kelly Mccall

NPI 1508353038 · on the registry since 2018 · sole proprietor

Practice

Address
24302 Toledo Ln
Lake Forest, CA 92630
Phone
(949) 716-0956

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California