Davis, Kyla Ama
Davis, Kyla Ama is an individual health care provider with primary practice located at 2141 N Harbor Blvd Ste 35000 , Fullerton CA 92835-3831. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Davis, Kyla Ama can be contacted via phone (714) 626-8630.Contact Information
Primary practice address
2141 N Harbor Blvd Ste 35000
Fullerton CA 92835-3831
Phone: (714) 626-8630
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 9104116 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA19190 | California |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA19190 | California |
Profile Details
NPI number | 1972726784 |
---|---|
LBN Legal business name | Davis, Kyla Ama |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Oct 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972726784 | NPPES |
California | Other | AW012X | MEDICARE PTAN |
California | Other | AW012Y | MEDICARE PTAN |
California | Other | AW012Z | MEDICARE PTAN |
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