Kymry Fowler, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

17425 Issued in CA

Legal business name

KYMRY FOWLER, INC.

Practice address

20122 Santa Ana Ave
7C
Newport Beach, CA 92660-1360

Phone

(949) 374-4868

Fax

(949) 606-8262

NPI assigned

May 1, 2017

Organization subpart

Yes

Parent organization

1957As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kymry Hart Fowler

Title

Clinical Director

Phone

(949) 374-4868

Specialties & licenses 1

Addresses

Part of

Kymry Fowler Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1730615477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20122 SANTA ANA AVE",
            "address_2": "7C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601360",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20122 SANTA ANA AVE",
            "address_2": "7C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601360",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMRY FOWLER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1957",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KYMRY",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-374-4868",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "17425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Soohyun Kwak, M.D.
• Amy Kwan, MD
• Jessica J Kwon, PHARM.D.
• Rachel Kwon, PSYD
• Sarah K Kwon
• William Kyriakakos, CADC II A054100319
• Kellie Cynthia La Zarr, MS CF-SLP
• Anh Kim La, RN
• Danica Jane Labar
• David Labonte, LMFT

• Hearing and Speech Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.