Individual provider · Type 1 NPI

Kimikio Vaughn

Attendant Care Provider · Fullerton, CA

NPI number 1982457289 Active

Practice location

1501 Brea Blvd Apt 213
Fullerton, CA 92835-3942

Mailing address

3370 W 84th St Apt 7
Inglewood, CA 90305-1734

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider 3747A0650XNone listed
Attendant Care Provider Primary 3747A0650XB4596350 (CA)

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1982457289

Kimikio Vaughn's National Provider Identifier is 1982457289, issued on Apr 8, 2024. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Fullerton, CA. The record was last updated on Apr 23, 2024.