Basic Information
| Provider Information | |||||||||
| NPI: | 1457445710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VUCHINICH | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 CITY DRIVE S. | ||||||||
| Address2: | BUILDING 56 SUITE 800 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7144566853 | ||||||||
| FaxNumber: | 7144567180 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 S. MANCHESTER AVE | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7144562911 | ||||||||
| FaxNumber: | 7144568383 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 10/17/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 000000G51518 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.