MEDICARE: KYLIE BOBERTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA63405	CA

General Provider Information

NPI Number	:	1235838665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE BOBERTZ

Provider Business Mailing Address
First Line	:	9850 GENESEE AVE STE 320
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1208
Country	:	US
Telephone Number	:	858-554-1212
Fax Number	:	858-795-1195

Provider Business Practice Location Address
First Line	:	1905 CALLE BARCELONA STE 211
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-8452
Country	:	US
Telephone Number	:	858-554-1212
Fax Number	:	858-795-1195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	08/04/2025

Similar Medicare Providers

1760486419 — DR. PAUL HONG-DZE CHEN M.D.
Practice Location Address:

1905 CALLE BARCELONA , STE 208
CARLSBAD, CA
92009-8452

Practice Phone: 760-930-9696
Practice Fax: 760-930-9696

1497794655 — MAYSA K NAGI MD
Practice Location Address:

1905 CALLE BARCELONA STE 211
CARLSBAD, CA
92009-8452

Practice Phone: 858-554-1212
Practice Fax:

1912548066 — MONICA PERLMAN MD INC.
Practice Location Address:

1905 CALLE BARCELONA STE 211
CARLSBAD, CA
92009-8452

Practice Phone: 858-799-0933
Practice Fax:

1407428089 — JENNIFER LYNN JOHNSTON FNP
Practice Location Address:

1905 CALLE BARCELONA STE 216
CARLSBAD, CA
92009-8452

Practice Phone: 760-274-6920
Practice Fax:

1083349997 — KATHERINE J DRILLING PA-C
Practice Location Address:

1905 CALLE BARCELONA STE 211
CARLSBAD, CA
92009-8452

Practice Phone: 858-799-0933
Practice Fax:

1851928816 — EVAN CHUNG MD
Practice Location Address:

6260 EL CAMINO REAL STE 201
CARLSBAD, CA
92009-1609

Practice Phone: 949-988-9034
Practice Fax: 949-403-8226

Directions to “ KYLIE BOBERTZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.