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Dr. Cheryl L Kellogg, MD
Specialist in Laguna Niguel, California
NPI 1376561027

Cheryl L Kellogg is a Specialist based in Laguna Niguel, CA. Cheryl L Kellogg practices in Laguna Niguel, CA and has the professional credentials of MD. The NPI Number for Cheryl L Kellogg is 1376561027 and holds a License No. C050266 (California).

The current practice location address for Cheryl L Kellogg is 30131 Town Center Dr, Laguna Niguel, CA and can be reached out via phone at 949-342-1780 and via fax at 949-342-1786.

Location: 30131 Town Center Dr, Laguna Niguel, CA, 92677-2064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376561027
Provider Name
Cheryl L Kellogg
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
30131 Town Center Dr, Laguna Niguel, CA, 92677-2064
Phone Number
949-342-1780
Fax Number
949-342-1786
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W13226A 01 CA MEDICARE GROUP NUMBER
ZZZ47948Z 01 CA BLUE SHIELD
C050266 01 CA STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
30131 Town Center Dr
City
Laguna Niguel
State
California
Zip
92677-2034
Phone Number
949-342-1780
Fax Number
949-342-1786
person
Provider Business Mailing Address Details
Address
30131 Town Center Dr
City
Laguna Niguel
State
California
Zip
92677-2034
Phone Number
949-342-1780
Fax Number
949-342-1786
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C050266 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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