| Doctor Name: | DR. ROBERT R KUTZNER |
| NPI Number: | 1225300635 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G52483 |
| Business Practice Address: | 217 El Camino Real Tustin, CA - 927803603 |
| Business Phone Number: | 8777886342 |
| Business Fax Number: | 9492748925 |
| Mailing Address: | 2549 Eastbluff Dr, NEWPORT BEACH |
| State: | CA |
| Postal Code: | 926603500 |
| Phone Number: | 7144866866 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2012 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G52483 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |