Healthcare Provider Details

I. General information

NPI: 1063344596
Provider Name (Legal Business Name): KYLEE FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4281 KATELLA AVE STE 207
LOS ALAMITOS CA
90720-6515
US

IV. Provider business mailing address

14847 DAISY MEADOW ST
CANYON COUNTRY CA
91387-1913
US

V. Phone/Fax

Practice location:
  • Phone: 626-270-9400
  • Fax:
Mailing address:
  • Phone: 661-753-6537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: