Dickinson, Kim
Dickinson, Kim is an individual health care provider with primary practice located at 525 N Garfield Ave , Monterey Park CA 91754-1202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Dickinson, Kim can be contacted via phone (626) 307-2067.Contact Information
Primary practice address
525 N Garfield Ave
Monterey Park CA 91754-1202
Phone: (626) 307-2067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | G61530 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G61530 | California |
Profile Details
| NPI number | 1326008723 |
|---|---|
| LBN Legal business name | Dickinson, Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326008723 | NPPES |
| California | MEDICAID | 00G615300 |
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