Kenia Alba
Individual provider Active NPI Rehabilitation Practitioner · San Luis Obispo, CA
NPI 1053914622 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1053914622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 784 High St
San Luis Obispo, CA 93401-5243 - Phone
- (805) 540-6500
- Fax
- (805) 540-6501
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
784 High St
San Luis Obispo, CA 93401-5243
Mailing address
PO Box 15408
San Luis Obispo, CA 93406-5408
Phone (805) 540-6500
Other providers in San Luis Obispo, CA
- Connie Louise Ahner
- Abdellatif A. Aichouri
- Gorgun Akpek
- Karen Akre
- Alicia Alandt
- Lyzette Monique Alberto
- Evan Gage Albright
- Allison Marie Alcala
- Adolphe Leonce Alexander IV
- Alexann Calabash Masiko-Meyer Summer Sessions Counseling
All providers in San Luis Obispo, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.