person
Dr. Kenneth W. Lien, MD
Allergy Physician in Castro Valley, California
NPI 1396823092

Kenneth W. Lien is an Allergy Physician based in Castro Valley, CA and is specialized in Allergy. Kenneth W. Lien practices in Castro Valley, CA and has the professional credentials of MD. The NPI Number for Kenneth W. Lien is 1396823092 and holds a License No. A72098 (California).

The current practice location address for Kenneth W. Lien is 20400 Lake Chabot Rd, Castro Valley, CA and can be reached out via phone at 510-537-0700 and via fax at 510-537-7795.

Location: 20400 Lake Chabot Rd, Castro Valley, CA, 94546-5316
person
Provider Profile Details
NPI Number
1396823092
Provider Name
Kenneth W. Lien
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20400 Lake Chabot Rd, Castro Valley, CA, 94546-5316
Phone Number
510-537-0700
Fax Number
510-537-7795
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA110780 01 CA GRP PTAN FOR ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY
1396823092 05 CA
EK627Z 01 CA INDIVIDUAL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
20400 Lake Chabot Rd
City
State
Zip
94546-5316
Phone Number
510-537-0700
Fax Number
510-537-7795
person
Provider Business Mailing Address Details
Address
20400 Lake Chabot Rd
City
State
Zip
94546-5316
Phone Number
510-537-0700
Fax Number
510-537-7795
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
A72098 (California)
Definition
Definition to come...
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