Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OCTAVIA MARIA KIMBLE
Active Sole ProprietorOCTAVIA MARIA KIMBLE is a Mental Health Clinic healthcare provider located in SAN DIEGO, California. NPI 1205411725 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · SAN DIEGO, CA
Registration Details
- NPI Number
- 1205411725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2021 (5.2274452521273 yrs)
- Last Updated
- Mar 16, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
823 GATEWAY CENTER WAYSAN DIEGO, CA, 921024541Browse CA providers · Browse ZIP 92102
- Phone
- 6195152300
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.