Healthcare Provider Details

I. General information

NPI: 1306720552
Provider Name (Legal Business Name): KATHRYN GIESCHEN ALLER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6336 PASSONS BLVD
PICO RIVERA CA
90660-3355
US

IV. Provider business mailing address

827 GAINSBOROUGH DR
PASADENA CA
91107-5511
US

V. Phone/Fax

Practice location:
  • Phone: 888-499-9303
  • Fax:
Mailing address:
  • Phone: 530-400-3139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: