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

Kevin Daryl Hazel

Individual provider Physical Therapy Assistant · NPI 1831856210

Kevin Daryl Hazel is a Physical Therapy Assistant in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

15373 Innovation Dr Ste 220
San Diego, CA 92128-3425
Phone: (858) 592-8855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 51342 (CA)

Record details

NPI number1831856210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2021
Last updated in NPPESNovember 20, 2021
Certification dateNovember 20, 2021

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