Individual
DR. JON ADAM KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST STE 2000, LOS ANGELES, CA 90033-5322
(323) 442-5860
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11723472-1205
UT
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A139792
CA
Other
Enumeration date
08/08/2014
Last updated
06/19/2020
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