Individual
KIMBERLY GABRIELLE BATANGHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45104 10TH STREET WEST, LANCASTER, CA 93534
(562) 867-7000
Mailing address
5650 JILLSON STREET, COMMERCE, CA 90040
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A187251
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2020
Last updated
11/02/2023
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