Individual
MICHIKO KAYAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5451 LA PALMA AVE STE 47, LA PALMA, CA 90623-1732
(714) 562-8560
Mailing address
5569 CRESCENT AVE, CYPRESS, CA 90630
(714) 686-3867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
731110
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
731110
CA
363LG0600X
Gerontology Nurse Practitioner
731110
CA
363LP2300X
Primary Care Nurse Practitioner
731110
CA
Other
Enumeration date
10/10/2014
Last updated
10/30/2023
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