Individual
EMILY KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 4TH AVE STE 700, SAN DIEGO, CA 92103-2121
(619) 299-8500
Mailing address
818 EUGENIE AVE, ENCINITAS, CA 92024-2326
(760) 518-4091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA63372
CA
363A00000X
Physician Assistant
Primary
—
CA
363AS0400X
Surgical Physician Assistant
Primary
PA63372
CA
Other
Enumeration date
02/28/2023
Last updated
04/24/2026
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