Individual ProviderKimberley DorantesMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address18200 Yorba Linda Blvd Ste 106, Yorba Linda, CA 92886-4006(714) 646-8034PECOS EnrollmentBased on the most recent information from CMS, provider Kimberley Dorantes is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1770596603Provider TypeIndividualFull NameDorantes, KimberleyCredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date8/14/2006Last Updated12/1/2023Contact InformationPractice LocationPractice Address18200 Yorba Linda Blvd Ste 106, Yorba Linda, CA 92886-4006Phone(714) 646-8034Fax(714) 492-8264Mailing LocationMailing Address18200 Yorba Linda Blvd Ste 111, Yorba Linda, CA 92886-4043Phone(714) 646-8034Fax(714) 492-8264Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC 41675California