Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kimberly A Douglas, MD

Individual provider Pediatrics Physician · NPI 1619017670

Dr. Kimberly A Douglas, MD is a Pediatrics Physician in Mission Viejo, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

27800 Medical Center Rd Ste 138
Mission Viejo, CA 92691-6410
Phone: (949) 365-2379
Fax: (949) 831-1920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G71095 (CA)

Record details

NPI number1619017670
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESFebruary 12, 2014

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