# KYLIE FULLER MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891473872
- **Authorized official:** DR. KYLIE A FULLER MD (OWNER)
- **Authorized official phone:** (909) 392-2002

## Contact information

- **Practice address:** 250 W BONITA AVE STE 100, POMONA, CA 91767-1863
- **Practice address phone:** (412) 327-1596
- **Mailing address:** 250 W BONITA AVE STE 100, POMONA, CA 91767-1863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/07/2026