Doctor Name: | DR. KIRA A. SKAVINSKI |
NPI Number: | 1073763546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A11792 |
Business Practice Address: | 101 The City Dr S Bldg. 25 Suite 1001 Orange, CA - 928683201 |
Business Phone Number: | 7144565432 |
Business Fax Number: | 7144567182 |
Mailing Address: | 101 The City Dr S, Bldg. 25 Suite 1001 ORANGE |
State: | CA |
Postal Code: | 928683201 |
Phone Number: | 7144565432 |
Fax Number: | 7144567182 |
NPI Enumeration Date: | 09/22/2008 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 20A11792 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |