Provider Demographics
NPI:1609135946
Name:MCFARLAND, KIMBERLY CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:CHRISTINE
Last Name:MCFARLAND
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 1:71780 SAN JACINTO DR BLDG I
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-5516
Mailing Address - Country:US
Mailing Address - Phone:760-568-3461
Mailing Address - Fax:760-423-6273
Practice Address - Street 1:27290 MADISON AVE STE 102
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5672
Practice Address - Country:US
Practice Address - Phone:951-296-2911
Practice Address - Fax:951-296-2919
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297947207R00000X, 2085R0204X
NJ25MA10541700207R00000X, 2085R0204X
390200000X
CAA1689582085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA168958OtherCA STATE MEDICAL LICENSE
NJ25MA10541700OtherNJ STATE MEDICAL LICENSE
NY297947OtherNY STATE MEDICAL LICENSE