Kimpark, Lisa H

Kimpark, Lisa H is an sole proprietor health care provider with primary practice located at 2025 E Route 66 , Glendora CA 91740-4670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kimpark, Lisa H can be contacted via phone (626) 963-3681.

Contact Information

Primary practice address
2025 E Route 66 Glendora CA 91740-4670
Phone: (626) 963-3681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G065500 California

Profile Details

NPI number 1144312505
LBN Legal business name Kimpark, Lisa H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Nov 5th, 2012 - about 12 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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