Doctolero, Kimberly Dawn Manzano

Doctolero, Kimberly Dawn Manzano is an individual health care provider with primary practice located at 7313 Whittier Ave , Whittier CA 90602-1132. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Doctolero, Kimberly Dawn Manzano can be contacted via phone (424) 442-9129.

Contact Information

Primary practice address
7313 Whittier Ave Whittier CA 90602-1132
Phone: (424) 442-9129
Fax: (310) 943-3821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1235682824
LBN Legal business name Doctolero, Kimberly Dawn Manzano
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2016
Last updated Feb 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235682824 NPPES
California MEDICAID 83-1142000

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