Erlich, Kimberly J.
Erlich, Kimberly J. is an individual health care provider with primary practice located at 100 S San Mateo Dr 3Rd Floor, Rm 3364, San Mateo CA 94401-3805. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Erlich, Kimberly J. can be contacted via phone (650) 696-4595.Contact Information
Primary practice address
100 S San Mateo Dr 3Rd Floor, Rm 3364
San Mateo CA 94401-3805
Phone: (650) 696-4595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 13675 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13675 | California |
Profile Details
| NPI number | 1104852532 |
|---|---|
| LBN Legal business name | Erlich, Kimberly J. |
| Credentials | RN CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Aug 14th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104852532 | NPPES |
| California | MEDICAID | 00136750 |
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