Healthcare Provider Details

I. General information

NPI: 1093629289
Provider Name (Legal Business Name): KYLA INA ARTIGO
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: KYLA ARTIGO

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12315 THORSON AVE
LYNWOOD CA
90262-5276
US

IV. Provider business mailing address

1442 W 221ST ST
TORRANCE CA
90501-4026
US

V. Phone/Fax

Practice location:
  • Phone: 310-603-1500
  • Fax:
Mailing address:
  • Phone: 310-951-8648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number32579
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: