Individual
DR. KYLE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8950 VILLA LA JOLLA DR STE C101, LA JOLLA, CA 92037-1727
(858) 249-1680
Mailing address
8950 VILLA LA JOLLA DR STE C101, LA JOLLA, CA 92037-1727
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
20A21304
CA
Other
Enumeration date
06/24/2019
Last updated
10/03/2023
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