Kimble, Octavia Maria

Kimble, Octavia Maria is an sole proprietor health care provider with primary practice located at 823 Gateway Center Way , San Diego CA 92102-4541. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Kimble, Octavia Maria can be contacted via phone (619) 515-2300.

Contact Information

Primary practice address
823 Gateway Center Way San Diego CA 92102-4541
Phone: (619) 515-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X California

Profile Details

NPI number 1205411725
LBN Legal business name Kimble, Octavia Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 2021 - about 5 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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