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NPI Code Detail

MEDICARE: CAROLYN KIMURA MD

MEDICARE: CAROLYN KIMURA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG55706CA

General Provider Information

NPI Number : 1861591646
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN KIMURA MD
Provider Business Mailing Address
First Line : 581 HILLCREST DR
Second Line :
City : PARADISE
State : CA
Zip : 95969-5759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1911 WILLIAMS DR STE 125
Second Line :
City : OXNARD
State : CA
Zip : 93036-2612
Country : US
Telephone Number : 805-981-4233
Fax Number : 805-981-9268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 05/24/2021

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Directions to “ CAROLYN KIMURA MD” Practice Location

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