Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 731110 | CA |
N | 363LG0600X | Nurse Practitioner - Gerontology | 731110 | CA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 731110 | CA |
NPI | 1033513635 |
---|---|
Provider Name | Michiko Kayahara |
First Address | Cypress, CA 90630 |
Second Address | Merced, CA 95340-4519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 19/05/2017 |