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

Kyle Alexander Bolo

Individual provider Ophthalmology Physician · NPI 1154984417

Kyle Alexander Bolo is an Ophthalmology in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1450 San Pablo St Fl 4
Los Angeles, CA 90033-5331
Phone: (323) 442-6335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (800) 926-8273

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 181420 (CA)

Record details

NPI number1154984417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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