Panganiban, Kimberly Dirks

Panganiban, Kimberly Dirks is an sole proprietor health care provider with primary practice located at 16935 W Bernardo Dr Suite 208, San Diego CA 92127-1634. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Panganiban, Kimberly Dirks can be contacted via phone (858) 361-6016.

Contact Information

Primary practice address
16935 W Bernardo Dr Suite 208 San Diego CA 92127-1634
Phone: (858) 361-6016
Fax: (858) 451-0333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 54218 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC52717 California

Profile Details

NPI number 1154483816
LBN Legal business name Panganiban, Kimberly Dirks
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Sep 1st, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154483816 NPPES
California Other 9613 MEDI-CAL PROVIDER NUMBER

Popular Providers