Amato, Kimberly Jean

Amato, Kimberly Jean is an individual health care provider with primary practice located at 420 S Glendora Ave , West Covina CA 91790-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amato, Kimberly Jean can be contacted via phone (626) 857-3180.

Contact Information

Primary practice address
420 S Glendora Ave West Covina CA 91790-3001
Phone: (626) 857-3180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16730 California

Profile Details

NPI number 1477505014
LBN Legal business name Amato, Kimberly Jean
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477505014 NPPES
California MEDICAID PA16730

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