Individual provider · Type 1 NPI

Kimberly S. Grueneisen, DO

Family Medicine Physician · Venice, CA

NPI number 1992148126 Active

Practice location

604 Rose Ave
Venice, CA 90291-2767

Call (310) 392-8636 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X20A14187 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1992148126

Kimberly S. Grueneisen, DO's National Provider Identifier is 1992148126, issued on Apr 8, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Venice, CA. The record was last updated on May 11, 2026.