Individual
KIMBERLY R. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4344
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
35.054521
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35.054521
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A045334
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
DR.0054948
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A453340
—
CA
01
—
930120259
RR MEDICARE
CA
05
—
96227371
—
CO
Enumeration date
12/07/2005
Last updated
05/01/2026
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