Healthcare Provider Details

I. General information

NPI: 1932044708
Provider Name (Legal Business Name): KAITLYN CHRISTINE YRINEO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12155 MAGNOLIA AVE STE 3G
RIVERSIDE CA
92503-4969
US

IV. Provider business mailing address

12411 GRAYLING AVE
WHITTIER CA
90604-4101
US

V. Phone/Fax

Practice location:
  • Phone: 951-426-0017
  • Fax:
Mailing address:
  • Phone: 562-284-9447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: