person
Kelly J Tucker, MD
Cardiovascular Disease Physician in Orange, California
NPI 1356372643

Kelly J Tucker is a Cardiovascular Disease Physician based in Orange, CA and is specialized in Cardiovascular Disease. Kelly J Tucker practices in Orange, CA and has the professional credentials of MD. The NPI Number for Kelly J Tucker is 1356372643 and holds a License No. G64833 (California).

The current practice location address for Kelly J Tucker is 1140 W. La Veta Ave, Orange, CA and can be reached out via phone at 714-564-3300 and via fax at 714-564-3318.

Location: 1140 W. La Veta Ave, Orange, CA, 92868-4228
person
Provider Profile Details
NPI Number
1356372643
Provider Name
Kelly J Tucker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1140 W. La Veta Ave, Orange, CA, 92868-4228
Phone Number
714-564-3300
Fax Number
714-564-3318
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G64833 01 CA MEDICAL LICENSE
GR0064090 05 CA
institution
Provider Business Practice Location Address Details
Address
1140 W. La Veta Ave
City
State
Zip
92868-4228
Phone Number
714-564-3300
Fax Number
714-564-3318
person
Provider Business Mailing Address Details
Address
1140 W. La Veta Ave
City
State
Zip
92868-4228
Phone Number
714-564-3300
Fax Number
714-564-3318
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
G64833 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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