Kimberly Hicks M D Inc

LBN: Kimberly Hicks M D Inc
Kimberly Hicks M D Inc is an health care organization with primary practice located at 3317 Elm St Ste 102 , Oakland CA 94609-3053. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kimberly Hicks M D Inc can be contacted via phone (510) 595-9880, or through Hicks, Kimberly via phone (510) 517-8005.

Contact Information

Primary practice address
3317 Elm St Ste 102 Oakland CA 94609-3053
Phone: (510) 595-9880
Fax: (510) 595-9881
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Kimberly Doctor of Medicine (MD)
Phone: (510) 517-8005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1114491743
LBN Legal business name Kimberly Hicks M D Inc
DBA Doing business as
Authorized official Hicks, Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114491743 NPPES
California MEDICAID 1972661254

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