Tangen, Kimberly Anne

Tangen, Kimberly Anne is an individual health care provider with primary practice located at 4519 Admiralty Way Ste 110 , Marina Del Rey CA 90292-5455. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tangen, Kimberly Anne can be contacted via phone (323) 538-4779.

Contact Information

Primary practice address
4519 Admiralty Way Ste 110 Marina Del Rey CA 90292-5455
Phone: (323) 538-4779
Fax: (323) 817-1150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22865 California

Profile Details

NPI number 1073796058
LBN Legal business name Tangen, Kimberly Anne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 2nd, 2016 - about 8 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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