Kimberly K Shane is a Clinical in Los Angeles, California. Kimberly K Shane practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly K Shane is 1053408419. The last update date is 2023-10-03.
Kimberly K Shane's current location address is 3200 Motor Ave, Los Angeles, California. You can contact this provider via phone number 3108361223. The mailing address for Kimberly K Shane is 3200 Motor Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly K Shane |
|---|---|
| Address | 3200 Motor Ave, Los Angeles, California |
| Phone Number | 3108361223 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1053408419 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2023-10-03 |
Provider Mailing Address Detail
| Address | 3200 Motor Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900343740 |
| Phone Number | 3108361223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY21138 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly K Shane by the Centers for Medicare & Medicaid Services?
The Kimberly K Shane has been assigned the NPI (National Provider Identifier) 1053408419. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kimberly K Shane?
The Kimberly K Shane is situated at 3200 Motor Ave, in the city of Los Angeles, state of CA, with the zip code 900343740.
What is Kimberly K Shane's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly K Shane is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053408419 to Kimberly K Shane?
The Centers for Medicare & Medicaid Services assigned the 1053408419 to Kimberly K Shane on 2006-10-06.
When was the information related to Kimberly K Shane most recently updated or refreshed?
The details pertaining to the Kimberly K Shane, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-03.