Kiet Loc Apc

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

A119338 Issued in CA

Legal business name

KIET LOC APC

Practice address

24012 Calle de la Plata
Suite 150
Laguna Hills, CA 92653-3621

Phone

(949) 837-1130

Fax

(949) 581-9189

NPI assigned

Jan 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiet Minh Loc, MDNPI 1609041581

Title

President

Phone

(949) 837-1130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiet Loc, M.D.

  • Neurology Physician
  • Laguna Hills, CA
  • NPI 1609041581
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1134586126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "SUITE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-837-1130",
            "fax_number": "949-581-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "SUITE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-837-1130",
            "fax_number": "949-581-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIET LOC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "LOC",
        "authorized_official_first_name": "KIET",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-837-1130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A119338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Kharrazi, D.C.
• Jenny Khiterer, N.P.
• Firouzeh Khoobchehr, DDS
• Arash Khosh, PHARM. D
• Haleh Khoshreza, M.D.
• Van Kieu, PHARMD
• Lisa Ann Kijak
• Kiko'S House LLC
• Kim O Nguyen O D Inc
• Airee Kim

• Behavioral Neurology & Neuropsychiatry Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.