Provider Demographics
NPI:1427939487
Name:DIZAIY, KAILANA G
Entity type:Individual
Prefix:
First Name:KAILANA
Middle Name:G
Last Name:DIZAIY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 FILLMORE ST APT 11
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4011
Mailing Address - Country:US
Mailing Address - Phone:619-569-9684
Mailing Address - Fax:
Practice Address - Street 1:2960 FILLMORE ST APT 11
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4011
Practice Address - Country:US
Practice Address - Phone:619-569-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula