Provider Demographics
NPI:1558646620
Name:JAMES L. KAY, D.O., P.C.
Entity Type:Organization
Organization Name:JAMES L. KAY, D.O., P.C.
Other - Org Name:SANTIAGO PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-364-2229
Mailing Address - Street 1:24432 MUIRLANDS BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-3939
Mailing Address - Country:US
Mailing Address - Phone:949-364-2229
Mailing Address - Fax:949-364-1104
Practice Address - Street 1:24432 MUIRLANDS BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-3939
Practice Address - Country:US
Practice Address - Phone:949-364-2229
Practice Address - Fax:949-364-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care