Healthcare Provider Details

I. General information

NPI: 1851488662
Provider Name (Legal Business Name): STEVEN MICHAEL KAYE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/13/2021
Certification Date: 03/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6331 GREENLEAF AVE STE G
WHITTIER CA
90601-3553
US

IV. Provider business mailing address

15243 LA CRUZ DR 652
PACIFIC PALISADES CA
90272-3616
US

V. Phone/Fax

Practice location:
  • Phone: 562-360-1556
  • Fax: 206-202-4724
Mailing address:
  • Phone: 310-871-3434
  • Fax: 206-202-4724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG29768
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberG29768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: