Kimberly Ta

NPI 1639839418 · on the registry since 2021 · sole proprietor

Practice

Address: 3110 E Guasti Rd Ste 315
Ontario, CA 91761
Phone: (909) 942-5666
Fax: (909) 435-4202
Organisation at this address: Seasons Hospice & Palliative Care Of California- San Bernardino, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California