Provider Demographics
NPI:1871469866
Name:LAYONES, KATRINA PALOMARES
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:PALOMARES
Last Name:LAYONES
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 1:12794 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-9334
Mailing Address - Country:US
Mailing Address - Phone:951-318-7603
Mailing Address - Fax:
Practice Address - Street 1:590 N VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-2115
Practice Address - Country:US
Practice Address - Phone:323-284-7998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant