Panganiban, Kimberly Dirks
Panganiban, Kimberly Dirks is an sole proprietor health care provider with primary practice located at 16935 W Bernardo Dr Suite 208, San Diego CA 92127-1634. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Panganiban, Kimberly Dirks can be contacted via phone (858) 361-6016.Contact Information
Primary practice address
16935 W Bernardo Dr Suite 208
San Diego CA 92127-1634
Phone: (858) 361-6016
Fax: (858) 451-0333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 54218 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC52717 | California |
Profile Details
| NPI number | 1154483816 |
|---|---|
| LBN Legal business name | Panganiban, Kimberly Dirks |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Sep 1st, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154483816 | NPPES |
| California | Other | 9613 | MEDI-CAL PROVIDER NUMBER |
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