KYLE VIVO

LOS ANGELES, CA
NPI1407982689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  18774)
Enumeration Date2007-02-24
Last Update Date2007-07-08
Business Address
Mr. KYLE VIVO PA-C
311 WINSTON ST
LOS ANGELES, CA 90013-1519
Phone number: 213-893-1960
Mailing Address
Mr. KYLE VIVO PA-C
2126 MOZART ST
LOS ANGELES, CA 90031-2246
Phone number: 626-674-8109