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NPI Code Detail

MEDICARE: KAYLA IMHOFF

MEDICARE: KAYLA IMHOFF
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 CounselorLMFT161444CA

General Provider Information

NPI Number : 1841867926
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA IMHOFF
Provider Business Mailing Address
First Line : PO BOX 373
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91031-0373
Country : US
Telephone Number : 323-435-6920
Fax Number :
Provider Business Practice Location Address
First Line : 210 S ORANGE GROVE BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-1705
Country : US
Telephone Number : 323-435-6920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 04/15/2026

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Directions to “ KAYLA IMHOFF ” Practice Location

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