KIMBERLY ELYSE CONLEY (NPI# 1164665550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164665550 |
Entity Type | Individual |
Full Name | KIMBERLY ELYSE CONLEY |
Credential | M.D. |
Practice Address |
12021 Wilshire Blvd # 745 Los Angeles CA 90025-1206 |
Mailing Address |
26165 Wallack Pl Loma Linda CA 92354-4144 |
Practice Telephone | 8669686380 |
Mailing Telephone | 5592449107 |
Enumeration Date | 2009-04-14 |
Last Update Date | 2018-04-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | A113160 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
11234 Anderson St, House Staff Office Cp 21005, Loma Linda, CA 923542804 | 9095588131 | 9095580430 |
12021 Wilshire Blvd # 745, Los Angeles, CA 900251206 | 8669686380 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376047910 | Kimberly Anne Conley X | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-03-20 |
1346605102 | Kimberly Conley | Nurse Practitioner | 2500 Metrohealth Drive, Metrohealth Medical Center, Cleveland, OH 44109 | 2015-12-22 |
1750769873 | Kimberly Conley | Counselor | 33 Bernhard Rd, North Haven, CT 06473-3900 | 2015-05-08 |
1649417155 | Kimberly Conley | Counselor | 5 Sacramento St, Cambridge, MA 02138-1812 | 2009-01-21 |
1770610024 | Kimberly Conley | Occupational Therapist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2007-02-27 |
Street Address |
12021 WILSHIRE BLVD # 745 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861845802 | Doctornow | Internal Medicine | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2016-07-14 |
1336564574 | Bruce Edgar | Obstetrics & Gynecology | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2014-02-25 |
1134569783 | Skilled Wound Care | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2013-06-27 |
1588920581 | Orlando Guba Ungos | Physician Assistant | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2012-04-04 |
1467750935 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
1811295389 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
1720386295 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
1821396391 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
1639477102 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
1184922650 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
Please comment or provide details below to improve the information on KIMBERLY ELYSE CONLEY.
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.