Kenneth Gheysar, M.D

NPI 1609992171 · on the registry since 2007 · sole proprietor

Practice

Address: 23046 Avenida De La Carlota Ste 600
Laguna Hills, CA 92653
Phone: (949) 306-2566
Organisation at this address: County Of Orange
King Premium Care
1 Spectrum Therapy
Companion Family Care
Dawn M. Terashita, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 69

Registry record

Primary taxonomy: 207QA0401X
207QA0401X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-29

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