MEDICARE: KAYLA NISHIDA KWAN

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	225XP0200X	Pediatric Occupational Therapist	15743	CA

General Provider Information

NPI Number	:	1245784370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA NISHIDA KWAN

Provider Business Mailing Address
First Line	:	11205 KNOTT AVE STE E
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5489
Country	:	US
Telephone Number	:	714-893-7399
Fax Number	:	714-893-7389

Provider Business Practice Location Address
First Line	:	11205 KNOTT AVE STE E
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5489
Country	:	US
Telephone Number	:	714-893-7399
Fax Number	:	714-893-7389

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

Provider Enumeration Date	:	08/05/2016
Last Update Date	:	03/12/2019

Similar Medicare Providers

1851760508 — JONATHAN BAIK DPT
Practice Location Address:

11205 KNOTT AVE , SUITE E
CYPRESS, CA
90630-5489

Practice Phone: 714-893-7399
Practice Fax: 714-893-7389

1114950789 — PHARMERICA DRUG SYSTEMS LLC
Practice Location Address:

11205 KNOTT AVE , SUITE C
CYPRESS, CA
90630-5489

Practice Phone: 714-891-5145
Practice Fax: 714-901-2468

1326064213 — PHARMACY CORPORATION OF AMERICA
Practice Location Address:

11205 KNOTT AVE , SUITE E
CYPRESS, CA
90630-5489

Practice Phone: 714-890-8469
Practice Fax: 800-478-4526

1497115943 — MRS. BRENDA GONZALES SLP
Practice Location Address:

11205 KNOTT AVE , SUITE E
CYPRESS, CA
90630-5489

Practice Phone: 714-893-7399
Practice Fax: 714-893-7389

1023562337 — CARALEE GIEBEIG
Practice Location Address:

11205 KNOTT AVE STE E
CYPRESS, CA
90630-5489

Practice Phone: 714-893-7399
Practice Fax:

1972057289 — JESSICA OWEN
Practice Location Address:

11205 KNOTT AVE STE E
CYPRESS, CA
90630-5489

Practice Phone: 714-893-7399
Practice Fax:

Directions to “ KAYLA NISHIDA KWAN ” 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.