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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992148126

Kimberly S Grueneisen, DO is a Student in an Organized Health Care Education/Training Program in Venice, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

604 Rose Ave
Venice, CA 90291-2767
Phone: (310) 392-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A14187 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992148126
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2013
Last updated in NPPESMay 11, 2026
Certification dateMarch 25, 2021

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