Individual provider · Type 1 NPI

Kyle Green, PA-C

Surgical Physician Assistant · Rancho Santa Margarita, CA

NPI number 1194246041 Active

Practice location

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Fax (855) 727-2251

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1194246041

Kyle Green, PA-C's National Provider Identifier is 1194246041, issued on Jun 30, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rancho Santa Margarita, CA. The record was last updated on Nov 10, 2022.