| Kimdoc Llc | |
|
85 Sierra Park Rd Mammoth Lakes CA 93546-2073 | |
| (310) 994-2822 | |
| Not Available |
| Full Name | Kimdoc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 85 Sierra Park Rd, Mammoth Lakes, California |
| Authorized Official Name and Position | Kevin I Metzger (OWNER) |
| Authorized Official Contact | 3109942822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimdoc Llc 3435 Ocean Park Blvd 107-4442 Santa Monica CA 90405-3301 Ph: (310) 994-2822 | Kimdoc Llc 85 Sierra Park Rd Mammoth Lakes CA 93546-2073 Ph: (310) 994-2822 |
| NPI Number | 1952716722 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952716722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6782 (California) | Primary |
Araya Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 805-801-6254 Fax: 702-453-5741 |