Provider Demographics
NPI:1235283250
Name:SEIBERLING, KRISTIN ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ANN
Last Name:SEIBERLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12607 LA SOLANA DR
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7456
Mailing Address - Country:US
Mailing Address - Phone:909-553-5326
Mailing Address - Fax:
Practice Address - Street 1:1895 ORANGE TREE LN
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-0111
Practice Address - Country:US
Practice Address - Phone:909-558-2002
Practice Address - Fax:909-558-2003
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100910207Y00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology