Provider Demographics
NPI:1972149771
Name:KAHURA, LILIAN W
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:W
Last Name:KAHURA
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 1:39122 RIMROCK RANCH RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-7428
Mailing Address - Country:US
Mailing Address - Phone:619-729-2456
Mailing Address - Fax:
Practice Address - Street 1:39122 RIMROCK RANCH RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-7428
Practice Address - Country:US
Practice Address - Phone:619-729-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA785729163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse