Provider Information
Last Updated: Sep 12 2025 5:14 AM
Kyle Wicomb
City Brawley |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Internal Medicine |
Last Name Wicomb |
First Name Kyle |
Address 207 W. Legion Rd. |
State CA |
Zip Code 92227 |
Phone (760)235-9156 |
Hours Mon - Fri 9:00 AM - 5:00 PM |
Gender M |
Title M.D. |
Physician ID 282637 |
Section Number 4 |
County IMPERIAL |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1558865147 |
Access Requirement Limited |
INT_BUILD_IND IB |
EXAMROOM_IND E |
License ID A176702 |
Board Certified No |
Office Language Arabic |
Office Language 2 German |
Self Access Flag F |
Panel Status E |