Healthcare Provider Details

I. General information

NPI: 1588590152
Provider Name (Legal Business Name): KAYLA MARIE NOZAKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8021 EDINGER AVE STE B
WESTMINSTER CA
92683-7656
US

IV. Provider business mailing address

8021 EDINGER AVE STE B
WESTMINSTER CA
92683-7656
US

V. Phone/Fax

Practice location:
  • Phone: 714-375-1393
  • Fax:
Mailing address:
  • Phone: 714-375-1393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: