Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A64979 | CA |
NPI | 1255372116 |
---|---|
Provider Name | Dr. Kimberly Dionne Safman |
First Address | Newport Beach, CA 92660-7901 |
Second Address | Newport Beach, CA 92660-7901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 17/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A87941 | (02) | CA |
GU307Z | (02) | CA |