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

Kyle Anthony Waller

Individual provider Rehabilitation Practitioner · NPI 1932807773

Kyle Anthony Waller is a Rehabilitation Practitioner in Culver City, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Phone: (310) 945-3350
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1932807773
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 21, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address9808 Venice Blvd Ste 505, Culver City, CA 90232-6818

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