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KIMBERLY SUZANNE BOUMAN
NPI 1134988520
Specialist/Technologist, Other in Newport Beach, CA

Active since March 18, 2024
2400 W COAST HWY STE I, NEWPORT BEACH, CA 92663(949) 723-0044 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Suzanne Bouman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUZANNE BOUMAN (NPI 1134988520) is an individual specialist/technologist, other provider in Newport Beach, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1134988520
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameKIMBERLY SUZANNE BOUMAN
Location Address2400 W COAST HWY STE INewport Beach, CA 92663-4732
Mailing Address2400 W Coast Hwy Ste INewport Beach, CA 92663-4732 · (949) 723-0044
Phone(949) 723-0044
Sole ProprietorYes
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1134988520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
2400 W COAST HWY STE I, Newport Beach, CA 92663
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Bouman's NPI number?

The NPI number for Kimberly Bouman is 1134988520. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Kimberly Bouman located?

Kimberly Bouman practices at 2400 W Coast Hwy Ste I, Newport Beach, CA 92663. The listed phone number is (949) 723-0044.

What is Kimberly Bouman's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Bouman was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.