Individual provider · Type 1 NPI

Kimberly Hagen Tillar, R.N.

Oncology Registered Nurse · Santa Monica, CA

NPI number 1104944420 Active

Practice location

2021 Santa Monica Blvd, Suit 400E
Santa Monica, CA 90404-2208

Mailing address

7819 Bleriot Ave
Los Angeles, CA 90045-2904

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse Primary 163WX0200X375548 (CA)

Oncology Registered Nurse: Definition to come...

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About NPI 1104944420

Kimberly Hagen Tillar, R.N.'s National Provider Identifier is 1104944420, issued on Mar 26, 2007. The primary taxonomy on file is Oncology Registered Nurse (163WX0200X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 8, 2007.