Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly M. Sandberg, RN, CRNA, a Professional Corporation

Organization Clinical Psychologist · NPI 1902451263

Kimberly M. Sandberg, RN, CRNA, a Professional Corporation is a Clinical Psychologist in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6
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Practice location Address checks out

4510 Executive Dr Ste 108
San Diego, CA 92121-3022
Phone: (619) 333-3515
Fax: (833) 974-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavioral Neurology & Neuropsychiatry Physician (primary) Taxonomy 2084B0040X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1902451263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Sandberg — Owner · (619) 944-2760
NPI enumeratedAugust 5, 2019
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address2833 Aspen Glen Ct, Chula Vista, CA 91914-2523

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