Healthcare Provider Details

I. General information

NPI: 1891107587
Provider Name (Legal Business Name): HP FAMILY CLINIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7014 SANTA FE AVE
HUNTINGTON PARK CA
90255-3910
US

IV. Provider business mailing address

7014 SANTA FE AVE
HUNTINGTON PARK CA
90255-3910
US

V. Phone/Fax

Practice location:
  • Phone: 323-588-1053
  • Fax:
Mailing address:
  • Phone: 323-588-1053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG29768
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN KAYE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-871-3434