Kyla Jeanne Hendricks in Ventura - Physician Assistant
Kyla Jeanne Hendricks - NPI 1962587717
Kyla Jeanne Hendricks is a Physician Assistant in Ventura, California. Kyla Jeanne Hendricks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kyla Jeanne Hendricks is 1962587717. The last update date is 2022-10-01.
Kyla Jeanne Hendricks's current location address is 5720 Ralston St Ste 200, Ventura, California. You can contact this provider via phone number 8058044168 and fax number 8058301177. The mailing address for Kyla Jeanne Hendricks is 5720 Ralston St Ste 200, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyla Jeanne Hendricks |
|---|---|
| Address | 5720 Ralston St Ste 200, Ventura, California |
| Phone Number | 8058044168 |
| Fax Number | 8058301177 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1962587717 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2022-10-01 |
Provider Mailing Address Detail
| Address | 5720 Ralston St Ste 200 |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930037844 |
| Phone Number | 8058044168 |
| Fax Number | 8058301177 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16030 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA16030 | CA | PA STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kyla Jeanne Hendricks by the Centers for Medicare & Medicaid Services?
The Kyla Jeanne Hendricks has been assigned the NPI (National Provider Identifier) 1962587717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kyla Jeanne Hendricks?
The Kyla Jeanne Hendricks is situated at 5720 Ralston St Ste 200, in the city of Ventura, state of CA, with the zip code 930037844.
What is Kyla Jeanne Hendricks's area of expertise and its corresponding taxonomy classification?
The Kyla Jeanne Hendricks's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Kyla Jeanne Hendricks receive its 1962587717 assignment?
The Kyla Jeanne Hendricks was assigned its 1962587717 on 2006-10-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kyla Jeanne Hendricks last refreshed?
The information related to the Kyla Jeanne Hendricks, including its address, specialty, and other relevant details, was last updated on 2022-10-01.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA