Individual
ADAM JASON KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3201 WILSHIRE BLVD, SUITE 201, SANTA MONICA, CA 90403-2344
(310) 829-7997
(310) 829-7868
Mailing address
63 ROCKINGHORSE RD, RANCHO PALOS VERDES, CA 90275-6569
(310) 519-7363
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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