Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn E. Wylie Center

Organization Point of Service · NPI 1972838670

Carolyn E. Wylie Center is a Point of Service in Riverside, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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Practice location Address checks out

4164 Brockton Ave
Riverside, CA 92501-3400
Phone: (951) 683-5193
Fax: (951) 683-6019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X · Licence 60910 (CA)

Record details

NPI number1972838670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Robinson — Ceo · (951) 683-5193
NPI enumeratedOctober 14, 2009
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address4164 Brockton Ave, Riverside, CA 92501-3400

Other providers in Riverside