Dr Kimberly K Shane, PSYD - Psychologist in Los Angeles, CA

Dr Kimberly K Shane, PSYD is a Psychologist - Clinical based in Los Angeles, California. Dr Kimberly K Shane is licensed to practice in California (license number PSY21138) and her current practice location is 3200 Motor Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (310) 836-1223.

NPI number for Dr Kimberly K Shane is 1053408419 and her current mailing address is 1404 Beckwith Ave, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053408419.

Contact Information

Dr Kimberly K Shane, PSYD
3200 Motor Ave,
Los Angeles, CA 90034-3740
(310) 836-1223
Not Available



Healthcare Provider's Profile

Full NameDr Kimberly K Shane
GenderFemale
SpecialityPsychologist - Clinical
Location3200 Motor Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053408419
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 10/03/2023

Medical Identifiers

Medical identifiers for Dr Kimberly K Shane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053408419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY21138 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly K Shane is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly K Shane, PSYD
1404 Beckwith Ave,
Los Angeles, CA 90049-3618

Ph: (310) 625-4165
Dr Kimberly K Shane, PSYD
3200 Motor Ave,
Los Angeles, CA 90034-3740

Ph: (310) 836-1223

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› Verified 3 days ago


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