Healthcare Provider Details

I. General information

NPI: 1013824929
Provider Name (Legal Business Name): KUMITEN NURSING PROFESSIONAL CORPORTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4109
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 800-353-1232
  • Fax: 657-699-1488
Mailing address:
  • Phone: 800-353-1232
  • Fax: 657-699-1488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISTINE JOANNE VIVARES UMITEN
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: PMHNP-BC
Phone: 800-353-1232