Provider Demographics
NPI:1952531758
Name:KYLE, DAVID JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:KYLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2208 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-4002
Mailing Address - Country:US
Mailing Address - Phone:232-211-1111
Mailing Address - Fax:928-832-5713
Practice Address - Street 1:2208 W 7TH STREET
Practice Address - Street 2:ATTN: YVETTE HARGROVE BROWN
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-1601
Practice Address - Country:US
Practice Address - Phone:909-303-0779
Practice Address - Fax:928-832-5713
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2OA 7590208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice