Provider Demographics
NPI:1861207664
Name:SAWCHUK, KEVIN ANTONY (MD)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:ANTONY
Last Name:SAWCHUK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 6TH ST
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2708
Mailing Address - Country:US
Mailing Address - Phone:672-965-0112
Mailing Address - Fax:
Practice Address - Street 1:ANAHEIM REGIONAL MEDICAL CENTER
Practice Address - Street 2:1111 W LA PALMA AVE
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:951-898-0823
Practice Address - Fax:951-898-0821
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA184642207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine