Individual provider · Type 1 NPI

Kyra Latrice Childress, PA-C

Physician Assistant · Loma Linda, CA

NPI number 1780538587 Active

Practice location

11175 Campus St
Loma Linda, CA 92350-1700

Call (909) 558-1000 Map

Mailing address

711 E 4th St Apt 1
Long Beach, CA 90802-2607

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780538587

Kyra Latrice Childress, PA-C's National Provider Identifier is 1780538587, issued on Feb 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Loma Linda, CA. The record was last updated on Feb 26, 2026.