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

Kimberly Suzanne Bouman

Individual provider Other Specialist/Technologist · NPI 1134988520

Kimberly Suzanne Bouman is an Other Specialist/Technologist in Newport Beach, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2400 W Coast Hwy Ste I
Newport Beach, CA 92663-4732
Phone: (949) 723-0044
Show map & directions

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

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1134988520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address2400 W Coast Hwy Ste I, Newport Beach, CA 92663-4732

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