Healthcare Provider Details

I. General information

NPI: 1376461327
Provider Name (Legal Business Name): KAYLIE NAOMI OKUNI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 WESTWOOD PLZ
LOS ANGELES CA
90095-1759
US

IV. Provider business mailing address

433 KELTON AVE APT 112
LOS ANGELES CA
90024-2029
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-6110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: