Gump, Kimberly

Gump, Kimberly is an sole proprietor health care provider with primary practice located at 275 Baker St Ste A , Costa Mesa CA 92626-4566. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Gump, Kimberly can be contacted via phone (714) 361-6760.

Contact Information

Primary practice address
275 Baker St Ste A Costa Mesa CA 92626-4566
Phone: (714) 361-6760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1487368692
LBN Legal business name Gump, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2023
Last updated Jul 18th, 2023 - about 2 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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