1285925693 NPI number — PHYLLIS KATHRYN BUEHLER L.M., C.P.M.

Table of content: PHYLLIS KATHRYN BUEHLER L.M., C.P.M. (NPI 1285925693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285925693 NPI number — PHYLLIS KATHRYN BUEHLER L.M., C.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUEHLER
Provider First Name:
PHYLLIS
Provider Middle Name:
KATHRYN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.M., C.P.M.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUEHLER
Provider Other First Name:
KAYTI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.M., C.P.M.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1285925693
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2604 EL CAMINO REAL # 263B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARLSBAD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92008-1205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-289-7696
Provider Business Mailing Address Fax Number:
619-828-1017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2604B EL CAMINO REAL # 263
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLSBAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92008-1214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-289-7696
Provider Business Practice Location Address Fax Number:
619-828-1017
Provider Enumeration Date:
04/20/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  LM367 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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