Individual
KIMBERLY ERIN ESGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
187 E WILBUR RD STE 100, THOUSAND OAKS, CA 91360-7925
(805) 492-1015
(805) 492-2035
Mailing address
1970 RORY LN UNIT 2, SIMI VALLEY, CA 93063-4388
(805) 875-7883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA58862
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2019
Last updated
07/18/2023
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