Individual
GIA NOVELL-KIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 S FAIR OAKS AVE STE 300, PASADENA, CA 91105-2562
(626) 795-7556
(626) 463-1060
Mailing address
301 S FAIR OAKS AVE STE 300, PASADENA, CA 91105-2562
(626) 795-7556
(626) 463-1060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A89742
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A89742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A89742
CALIF MEDICAL LICENSE
CA
Enumeration date
05/26/2006
Last updated
11/19/2014
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