Tangen, Kimberly Anne
Tangen, Kimberly Anne is an individual health care provider with primary practice located at 4519 Admiralty Way Ste 110 , Marina Del Rey CA 90292-5455. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tangen, Kimberly Anne can be contacted via phone (323) 538-4779.Contact Information
Primary practice address
4519 Admiralty Way Ste 110
Marina Del Rey CA 90292-5455
Phone: (323) 538-4779
Fax: (323) 817-1150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 22865 | California |
Profile Details
| NPI number | 1073796058 |
|---|---|
| LBN Legal business name | Tangen, Kimberly Anne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Dec 2nd, 2016 - about 10 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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