NPI Code Details Logo

NPI 1457906315

NPI 1457906315 : KIMBERLY GUEVARA D.C. : CARSON, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457906315
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KIMBERLY GUEVARA D.C.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/07/2019
-----------------------------------------------------
    Last Update Date     |    12/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    20620 LEAPWOOD AVE #H SUITE 
-----------------------------------------------------
    City                 |    CARSON
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90746
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-437-0120
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    246 E 135TH STREET 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90061
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-437-0120
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    DC37286
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.