Kyle Addison
Residential Treatment Facility, Emotionally Disturbed Children · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Kyle Addison’s office at (408) 205-8996 to ask if they take your plan before you enroll.
California Medical Board record
Licence G3649 · Cancelled
Licence status: Cancelled · since 1956 · Loma Linda University School of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1700101540
- Licence
- CA 3649California G3649: Cancelled
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 322D00000X (322D00000X)
- Mailing address
- 1058 S 5th St, Apt. #201, San Jose, CA, 95112
- NPI first listed
- 2010-04-05
- NPI last updated
- 2010-04-05
This is when the NPI record was last certified, not a medical board exam.