Basic Information
| Provider Information | |||||||||
| NPI: | 1235283250 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEIBERLING | ||||||||
| FirstName: | KRISTIN | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12607 LA SOLANA DR | ||||||||
| Address2: | |||||||||
| City: | REDLANDS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923737456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095535326 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1895 ORANGE TREE LN | ||||||||
| Address2: | |||||||||
| City: | REDLANDS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923740111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095582002 | ||||||||
| FaxNumber: | 9095582003 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2007 | ||||||||
| LastUpdateDate: | 05/20/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 100910 | CA | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.