KIMBERLY ELYSE CONLEY M.D. NPI 1164665550

NPI Information

NPI: 1164665550
Provider Name: KIMBERLY ELYSE CONLEY, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3612 1/2 E 1ST ST
LOS ANGELES, CA
ZIP 90063
Phone: (323) 264-7796
Get Directions

Kimberly Elyse Conley, M.D. is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Kimberly Elyse Conley, M.D. NPI is 1164665550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3612 1/2 E 1ST ST
LOS ANGELES, CA
ZIP 90063-326
Phone: (323) 264-7796

The NPI 1164665550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 5/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	A113160	CALIFORNIA	No
2	208D00000X	General Practice		A113160	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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