Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E2404 | CA |
NPI | 1073587481 |
---|---|
Provider Name | Dr. Joshua M Kaye |
First Address | Los Angeles, CA 90045-3807 |
Second Address | Los Angeles, CA 90045-3807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 30/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E24040 | (05) | CA |
T11311 | (02) | CA |