Provider Demographics
NPI:1669752747
Name:MCGUIRE, KIMBERLY NATALIA (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:NATALIA
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 WARING AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7613
Mailing Address - Country:US
Mailing Address - Phone:323-388-9286
Mailing Address - Fax:
Practice Address - Street 1:7115 WARING AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-7613
Practice Address - Country:US
Practice Address - Phone:323-388-9286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8460374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula