Healthcare Provider Details

I. General information

NPI: 1487911152
Provider Name (Legal Business Name): LORI KIRKLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S QUINTANA DR
ANAHEIM CA
92807-4029
US

IV. Provider business mailing address

233 S QUINTANA DR
ANAHEIM CA
92807-4029
US

V. Phone/Fax

Practice location:
  • Phone: 714-383-9400
  • Fax: 714-282-2801
Mailing address:
  • Phone: 714-383-9400
  • Fax: 714-282-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: