Provider Demographics
NPI:1679184428
Name:STRA, KAYLA
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:
Last Name:STRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ROLYN PL
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-2806
Mailing Address - Country:US
Mailing Address - Phone:626-701-0678
Mailing Address - Fax:
Practice Address - Street 1:290 ROLYN PL
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-2806
Practice Address - Country:US
Practice Address - Phone:626-701-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty