Individual provider · Type 1 NPI

Michael John Kimball, NP

Adult Health Nurse Practitioner · Costa Mesa, CA

NPI number 1700838646 Active

Practice location

2501 Harbor Blvd
Costa Mesa, CA 92626-6143

Mailing address

1600 9th Street, Room 205 Mailstop 2-3
Sacramento, CA 95814-6414

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X523970 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1700838646

Michael John Kimball, NP's National Provider Identifier is 1700838646, issued on May 17, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 13, 2026.