Individual
JEFF SCOTT KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 MAGNOLIA AVE STE 101, CORONA, CA 92879-3331
(951) 735-6060
(951) 735-4510
Mailing address
341 MAGNOLIA AVE STE 101, CORONA, CA 92879-3331
(951) 735-6060
(951) 735-4510
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A157125
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
06/29/2023
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