Doctor Name: | KENNETH W. VOGEN |
NPI Number: | 1295767002 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | E2796 |
Business Practice Address: | 24191 Paseo De Valencia Suite E Laguna Woods, CA - 926373167 |
Business Phone Number: | 9498551177 |
Business Fax Number: | 9498556939 |
Mailing Address: | 24191 Paseo De Valencia, Suite E LAGUNA WOODS |
State: | CA |
Postal Code: | 926373167 |
Phone Number: | 9498551177 |
Fax Number: | 9498556939 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | E2796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |