Martin Kikulwe Kimera, is a
Registered Nurse based in Villa Park, California. Martin Kikulwe Kimera is licensed to practice in California (license number 585036) and his current practice location is
1648 N Brigantine Ln, Villa Park, California. He can be reached at his office (for appointments etc.) via phone at
(714) 603-3606.
NPI number for Martin Kikulwe Kimera is 1851919617 and his current mailing address is 1648 N Brigantine Ln, Villa Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851919617.
Provider's Profile
Full Name | Martin Kikulwe Kimera |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 1648 N Brigantine Ln, Villa Park, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851919617
- Provider Enumeration Date: 07/08/2020
- Last Update Date: 07/08/2020
Medical Identifiers
Medical identifiers for Martin Kikulwe Kimera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851919617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 585036 (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. Martin Kikulwe Kimera 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 |
Martin Kikulwe Kimera, 1648 N Brigantine Ln, Villa Park, CA 92867-4058 Ph: (714) 603-3606 | Martin Kikulwe Kimera, 1648 N Brigantine Ln, Villa Park, CA 92867-4058 Ph: (714) 603-3606 |
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