Individual
DR. VIRGINIA E KIMONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S # ZC4482, DIVISION OF GENETICS AND METABOLISM, ORANGE, CA 92868-3201
(714) 456-5792
(714) 456-5330
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
156969
MA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
C52311
CA
207SG0202X
Clinical Biochemical Genetics Physician
156969
MA
208000000X
Pediatrics Physician
156969
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127230
—
MA
Enumeration date
04/26/2006
Last updated
02/28/2023
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