KIMBERLY CORPUZ-AGBALOG CLARK LVN
NPI 1033788187
Licensed Vocational Nurse in West Covina, CA

NPI Status: Active since June 23, 2021

Contact Information

1825 E THELBORN ST
WEST COVINA, CA
ZIP 91791
Phone: (626) 915-3844

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  • Individual
  • Female
  • Licensed Vocational Nurse

About KIMBERLY CLARK

This page provides the complete NPI Profile along with additional information for Kimberly Clark, a provider established in West Covina, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1033788187 assigned on June 2021. The practitioner's primary taxonomy code is 164X00000X with license number 250826 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1033788187
Provider Name
KIMBERLY CORPUZ-AGBALOG CLARK LVN
Other Name
KIMBERLY CORPUZ AGBALOG LVN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1825 E THELBORN ST WEST COVINA, CA 91791
Location Phone
(626) 915-3844
Mailing Address
14410 MULBERRY DR APT 113 WHITTIER, CA 90604
Mailing Phone
(562) 673-3176
Is Sole Proprietor?
No
Enumeration Date
06-23-2021
Last Update Date
06-23-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
250826
License State
CA
Taxonomy Description
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033788187
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206314816116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 8 + 1 + 6 + 1 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1033788187 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104977594MR. EDUARDO ARCHULETA
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1821149220MS. DIANA SANCHEZ
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1619284395 APRIL ECHEVERRIA BSW
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1154638831MR. STEWART N DANFORD III MA
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1881970309 BETTY KIM
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(818) 206-0360
1548518657 SHANA NICOLE GADON
Individual
Student in an Organized Health Care Education/Training Program1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1447659453 JEANETTE MARKS
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1265820138MR. AARON LOUIS GOLDBERG
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1003295841 MELISSA DUBRIEL
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1720444383 CHRISTA MARIE REIFF
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1629461926 CHARITY INCLAN
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1295214419 LORRAINE J HUNDTOFT
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1366733990MS. THERESA-MARY OFFENBACK-WONG
Individual
Marriage & Family Therapist1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1639637226 JAELA RANIECE WEAVER
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1063935567 CAITLIN LEANNE LOPEZ LPT
Individual
Licensed Psychiatric Technician1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1194321307 SAMANTHA JELINE SONORA
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1467049965 DWAIN KLINE
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1235787128 KAREN LIZAOLA RIVERA
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3544
1134773187 FERNANDO EDUARDO WEAVER
Individual
Counselor (Addiction (Substance Use Disorder))1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844
1205445665 OUMAIMA SHILLEH
Individual
Licensed Psychiatric Technician1825 E THELBORN ST
WEST COVINA, CA 91791
(626) 915-3844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033788187, enumerated in the NPI registry as an "individual" on June 23, 2021

The provider is located at 1825 E Thelborn St West Covina, Ca 91791 and the phone number is (626) 915-3844

The provider's speciality is Licensed Vocational Nurse with taxonomy code 164X00000X

This NPI record was last updated on June 23, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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