Healthcare Provider Details

I. General information

NPI: 1366863565
Provider Name (Legal Business Name): STEVEN M. KAYE, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 02/22/2017
Certification Date:
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 TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberG029768
License Number StateCA

VIII. Authorized Official

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