Provider Demographics
NPI:1326123233
Name:KYLE, AMBER A (MD)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:A
Last Name:KYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20911 EARL ST.
Mailing Address - Street 2:310
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:310-370-9970
Mailing Address - Fax:310-370-9973
Practice Address - Street 1:20911 EARL ST.
Practice Address - Street 2:310
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-370-9970
Practice Address - Fax:310-370-9973
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82489OtherSTATE LICENCE NUMBER
CAA82489OtherSTATE LICENCE NUMBER