Kijner, Amy L

Kijner, Amy L is an individual health care provider with primary practice located at 1328 22Nd St , Santa Monica CA 90404-2091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kijner, Amy L can be contacted via phone (310) 582-7089.

Contact Information

Primary practice address
1328 22Nd St Santa Monica CA 90404-2091
Phone: (310) 582-7089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA14122 California

Profile Details

NPI number 1235197849
LBN Legal business name Kijner, Amy L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235197849 NPPES
California MEDICAID PA14122

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