Klimchock, Lydia

Klimchock, Lydia is an sole proprietor health care provider with primary practice located at 303 San Gorgonio St , San Diego CA 92106-3316. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Klimchock, Lydia can be contacted via phone (619) 225-9883.

Contact Information

Primary practice address
303 San Gorgonio St San Diego CA 92106-3316
Phone: (619) 225-9883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 276394 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 276394 California

Profile Details

NPI number 1841533601
LBN Legal business name Klimchock, Lydia
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2013
Last updated Mar 30th, 2013 - about 11 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 1841533601 NPPES
California Other 276394 RNP LICENSE NUMBER

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