Dr. Kylo Riel Cautivar, MD
Physical Medicine & Rehabilitation in Loma Linda, CA. Individual provider (NPI-1).
NPI number1487235438
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1487235438
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kylo Riel Cautivar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2021
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A182432 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11406 Loma Linda Dr Ste 516Loma Linda, CA 92354-3711
Phone 909-558-6202
Mailing address
11406 Loma Linda Dr Ste 516Loma Linda, CA 92354-3711
Phone 909-558-6202
Other practice locations
4445 Magnolia Ave
Riverside, CA 92501-4135
Riverside, CA 92501-4135
Phone 951-788-3274
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