Individual
KYLE DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
6600 WOODLEY AVE APT 206, VAN NUYS, CA 91406-6814
(747) 465-6034
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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