Provider Demographics
NPI:1154529030
Name:LLOYD, KIMBERLY CHIK (MD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CHIK
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:CHIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2100 N BROADWAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2624
Mailing Address - Country:US
Mailing Address - Phone:714-245-6881
Mailing Address - Fax:714-245-6891
Practice Address - Street 1:2100 N BROADWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2624
Practice Address - Country:US
Practice Address - Phone:714-245-6881
Practice Address - Fax:714-245-6891
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070173582084P0800X
MO20080180272084P0800X
CAA1156832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry