Kimball, Michael John
Kimball, Michael John is an individual health care provider with primary practice located at 2501 Harbor Blvd , Costa Mesa CA 92626-6143. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Kimball, Michael John can be contacted via phone (714) 957-5000.Contact Information
Primary practice address
2501 Harbor Blvd
Costa Mesa CA 92626-6143
Phone: (714) 957-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 523970 | California |
Profile Details
| NPI number | 1700838646 |
|---|---|
| LBN Legal business name | Kimball, Michael John |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 7th, 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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