Jeanne Diane Kimura, PSYD is a
Psychologist - Clinical based in Costa Mesa, California. Jeanne Diane Kimura is licensed to practice in California (license number PSY33292) and her current practice location is
370 Avocado St Apt 7, Costa Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(714) 469-6700.
NPI number for Jeanne Diane Kimura is 1205139268 and her current mailing address is 370 Avocado St Apt 7, Costa Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205139268.
Healthcare Provider's Profile
| Full Name | Jeanne Diane Kimura |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 370 Avocado St Apt 7, Costa Mesa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205139268
- Provider Enumeration Date: 12/14/2010
- Last Update Date: 06/06/2022
Medical Identifiers
Medical identifiers for Jeanne Diane Kimura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205139268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY33292 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanne Diane Kimura is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeanne Diane Kimura, PSYD
370 Avocado St Apt 7,
Costa Mesa, CA 92627-1671
Ph: (714) 469-6700 | Jeanne Diane Kimura, PSYD
370 Avocado St Apt 7,
Costa Mesa, CA 92627-1671
Ph: (714) 469-6700 |
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