Individual
KAYLENE K OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
24910 LAS BRISAS RD, SUITE 111, MURRIETA, CA 92562-4010
(951) 694-8549
(951) 220-8307
Mailing address
24910 LAS BRISAS RD, SUITE 111, MURRIETA, CA 92562-4010
(951) 694-8549
(951) 220-8307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP16121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN445023
—
CA
Enumeration date
08/28/2007
Last updated
03/07/2023
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