Healthcare Provider Details

I. General information

NPI: 1891955654
Provider Name (Legal Business Name): HELEN KIGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 4TH ST FL 2
SANTA MONICA CA
90401-2358
US

IV. Provider business mailing address

1527 4TH ST FL 2
SANTA MONICA CA
90401-2358
US

V. Phone/Fax

Practice location:
  • Phone: 310-394-9871
  • Fax: 310-576-2499
Mailing address:
  • Phone: 310-394-9871
  • Fax: 310-576-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN301201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: