Klumph, Mary E

Klumph, Mary E is an individual health care provider with primary practice located at 14901 Rinaldi St Ste 200, Mission Hills CA 91345-1254. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Klumph, Mary E can be contacted via phone (818) 365-8553.

Contact Information

Primary practice address
14901 Rinaldi St Ste 200 Mission Hills CA 91345-1254
Phone: (818) 365-8553
Fax: (818) 365-4524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP6839 California
Nursing Service Providers / Registered Nurse 163W00000X RN268367 California

Profile Details

NPI number 1124020243
LBN Legal business name Klumph, Mary E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 14th, 2011 - about 15 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 1124020243 NPPES
California MEDICAID RN268367

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