Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G29768 | CA |
N | 111NI0900X | Internist | G29768 | CA |
Y | 207RA0401X | Internist - Addiction Medicine | G29768 | CA |
NPI | 1851488662 |
---|---|
Provider Name | Steven Michael Kaye |
First Address | Pacific Palisades, CA 90272-3616 |
Second Address | Whittier, CA 90601-3553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 13/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A44151 | (02) | CA |