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

Kyle Justin Difulvio, MA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699205641

Kyle Justin Difulvio, MA is a Student in an Organized Health Care Education/Training Program in Santa Monica, California. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1527 4th St
Santa Monica, CA 90401-2358
Phone: (310) 394-9871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1699205641
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESJune 19, 2017

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