Healthcare Provider Details

I. General information

NPI: 1205254992
Provider Name (Legal Business Name): DAVID KAY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 RAYNETA DR
SHERMAN OAKS CA
91403-4430
US

IV. Provider business mailing address

5153 GOODLAND AVE
VALLEY VILLAGE CA
91607-2915
US

V. Phone/Fax

Practice location:
  • Phone: 413-626-3610
  • Fax:
Mailing address:
  • Phone: 818-856-9535
  • Fax: 818-238-2351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A14332
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License Number20A14332
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License NumberU1052
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: