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NPI Code Detail

MEDICARE: MICHAEL STEPHEN KAYS

MEDICARE: MICHAEL STEPHEN KAYS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA21494CA
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1306145719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL STEPHEN KAYS
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE STE 408
Second Line :
City : GARDENA
State : CA
Zip : 90248-3858
Country : US
Telephone Number : 310-856-0800
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 2155 CHICAGO AVE STE 203
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2209
Country : US
Telephone Number : 951-357-6926
Fax Number : 855-568-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2011
Last Update Date : 12/30/2021

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Directions to “ MICHAEL STEPHEN KAYS ” Practice Location

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