Individual
CAROLINE KIMAIYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
Mailing address
13135 HEACOCK ST APT 120, MORENO VALLEY, CA 92553-2803
(714) 809-3898
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027261
CA
Other
Enumeration date
01/03/2024
Last updated
03/17/2026
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