Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC 17298 | CA |
NPI | 1942411525 |
---|---|
Provider Name | Barry L. Kaye |
First Address | Los Angeles, CA 90046-6825 |
Second Address | Los Angeles, CA 90046-6825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 11/01/2008 |