DR. KIMBERLY ANNE TANGEN (NPI# 1073796058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073796058 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANNE TANGEN |
| Credential | PHD |
| Practice Address |
4519 Admiralty Way Ste 110 Marina Del Rey CA 90292-5455 |
| Mailing Address |
8117 W Manchester Ave # 885 Playa Del Rey CA 90293-8211 |
| Practice Telephone | 3235384779 |
| Practice Fax Number | 3238171150 |
| Mailing Telephone | 3235384779 |
| Mailing Fax Number | 3238171150 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22865 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4519 ADMIRALTY WAY STE 110 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205864147 | Irvin D Godofsky | Psychiatry & Neurology | 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292-5455 | 2006-06-29 |
| 1457806770 | Kimberly Tangen Phd, Licensed Psychologist, Inc. | Psychologist | 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292-5455 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511605 | Jesi Sasaki | Psychologist | 13930 Nw Passage Apt 210, Marina Del Rey, CA 90292-7497 | 2020-02-28 |
| 1023341500 | Julie Anne Armstrong | Psychologist | 4519 Admiralty Wy, #202, Marina Del Rey, CA 90292 | 2009-09-15 |
| 1295049336 | Tracy Carmela Halstead | Psychologist | 3007 Washington Blvd, Suite 230b, Marina Del Rey, CA 90292-5561 | 2010-07-30 |
| 1447580105 | Carlos Alberto Protzel | Psychologist | 4519 Admiralty Way, Suite 202-b, Marina Del Rey, CA 90292 | 2009-12-31 |
| 1659417970 | Patricia A Zomber | Psychologist | 4640 Admiralty Way, Suite 318, Marina Del Rey, CA 90292-6621 | 2007-01-30 |
| 1477625572 | Linda Carol Gorin-sibner | Psychologist | 4560 Admiralty Way, Suite 302, Marina Del Rey, CA 90292-5423 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on DR. KIMBERLY ANNE TANGEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.