Organization
KIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SANDBERG CRNA (OWNER)
(619) 944-2760
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 108, SAN DIEGO, CA 92121-3022
(619) 333-3515
(833) 974-2067
Mailing address
2833 ASPEN GLEN CT, CHULA VISTA, CA 91914-2523
(619) 944-2760
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/05/2019
Last updated
06/06/2023
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