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NPI Code Detail

MEDICARE: KYLE ZAHARIA

MEDICARE: KYLE ZAHARIA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1598326225
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE ZAHARIA
Provider Business Mailing Address
First Line : 1901 NEWPORT BLVD STE 350
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-2299
Country : US
Telephone Number : 949-242-9720
Fax Number :
Provider Business Practice Location Address
First Line : 1901 NEWPORT BLVD STE 350
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-2299
Country : US
Telephone Number : 949-242-9720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 06/24/2019

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Directions to “ KYLE ZAHARIA ” Practice Location

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