MEDICARE: KYLIN MUNOZ

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619771631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIN MUNOZ

Provider Business Mailing Address
First Line	:	PO BOX 3875
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90304-0875
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 STANFORD AVE
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-2737
Country	:	US
Telephone Number	:	425-870-9622
Fax Number	:

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

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	04/01/2025

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Directions to “ KYLIN MUNOZ ” Practice Location

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