Individual
KIARA YAMILET GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2600
Mailing address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2023
Last updated
07/24/2025
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