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KIMDOC LLC
NPI 1952716722
Family Medicine in Mammoth Lakes, CA

Active since June 30, 2014
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(310) 994-2822 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimdoc Llc NPPES

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

KIMDOC LLC (NPI 1952716722) is a healthcare organization registered as a family medicine in Mammoth Lakes, California and active in the NPI registry since June 2014. The organization lists Kevin I Metzger, Owner, as its authorized official.

NPPES Registry Identity

NPI1952716722
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIMDOC LLC
Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-2073
Mailing Address3435 Ocean Park Blvd, 107-4442Santa Monica, CA 90405-3301 · (310) 994-2822
Phone(310) 994-2822
Organization SubpartNo
Authorized OfficialKevin I MetzgerOwner · (310) 994-2822
Enumeration DateJune 30, 2014
✔ NPI 1952716722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 6782
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
85 SIERRA PARK RD, Mammoth Lakes, CA 93546
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS LEE MENESES RN
Registered Nurse (Registered Nurse First Assistant)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4075
DR. JONATHAN BOURNE M.D.
Anesthesiology
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4078
ERIKO SUZUKI R.N., M.S., N.P.
Nurse Practitioner (Family)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-2551
JENNIFER WATSON RN
Registered Nurse
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
RENEE ELIZABETH HARTSMAN FNP
Registered Nurse
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
SOUTHERN MONO HEALTH CARE DISTRICT
General Acute Care Hospital (Rural)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
DR. KIM ESCUDERO M.D.
Pediatrics
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4000
KYLE ANTHONY MINKEL
Orthopaedic Surgery
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311

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 Kimdoc LLC's NPI number?

The NPI number for Kimdoc LLC is 1952716722. It was assigned to this organization in the NPPES registry on June 30, 2014.

Where is Kimdoc LLC located?

Kimdoc LLC is located at 85 Sierra Park Rd, Mammoth Lakes, CA 93546. The listed phone number is (310) 994-2822.

What is Kimdoc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kimdoc LLC was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.