Healthcare Provider Details

I. General information

NPI: 1598990475
Provider Name (Legal Business Name): LUKE E KAMEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 SOUTH ST
LAKEWOOD CA
90712-1498
US

IV. Provider business mailing address

703 PIER AVE SUITE B #712
HERMOSA BEACH CA
90254
US

V. Phone/Fax

Practice location:
  • Phone: 562-531-2550
  • Fax:
Mailing address:
  • Phone: 562-472-3266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberA125578
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number270247
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA125578
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA125578
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA125578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: