Healthcare Provider Details

I. General information

NPI: 1073710489
Provider Name (Legal Business Name): KIMBERLY ANNE BEKEMEIER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 WARNER AVE STE 215
HUNTINGTON BEACH CA
92649-4475
US

IV. Provider business mailing address

19051 GOLDENWEST ST STE 106-102
HUNTINGTON BEACH CA
92648-2155
US

V. Phone/Fax

Practice location:
  • Phone: 714-475-7151
  • Fax:
Mailing address:
  • Phone: 714-475-7151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A10741
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: