Kimberly Lavonne Self CADC-1

  • NPI 1487123873
According to our database, the NPI number for Kimberly Lavonne Self CADC-1 is 1487123873 and activated since 5 years ago. Kimberly Lavonne Self CADC-1 is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1207 E Fruit St, Santa Ana, CA 92701. You can also contact Kimberly Lavonne Self CADC-1 via telephone number is (714) 953-9373. Provider NPI information was last updated on 11/15/2018.

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Overview of Kimberly Lavonne Self CADC-1

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/15/2018
  • Last updated: 11/15/2018

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: C059050818
  • License State: CA

Provider Mailing Address

  • Address: 441 S Vicki Ln
    Anaheim, CA 92804
  • Phone: 714-450-0352
  • Fax:

Provider Practice Location

  • Address: 1207 E Fruit St
    Santa Ana, CA 92701
  • Phone: 714-953-9373
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: C059050818
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kimberly Lavonne Self CADC-1?
  • A: The npi number for Kimberly Lavonne Self CADC-1 is 1487123873.
  • Q: What are Kimberly Lavonne Self CADC-1's specialties?
  • A: Kimberly Lavonne Self CADC-1's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Kimberly Lavonne Self CADC-1?
  • A: The medical license number for Kimberly Lavonne Self CADC-1 is C059050818 and issued in CA in USA.
  • Q: Where is Kimberly Lavonne Self CADC-1 practice location?
  • A: Kimberly Lavonne Self CADC-1 is practicing at 1207 E Fruit St, Santa Ana, CA 92701.
  • Q: How to contact Kimberly Lavonne Self CADC-1?
  • A: You can contact Kimberly Lavonne Self CADC-1 via 714-953-9373.