Provider Demographics
NPI:1851488662
Name:KAYE, STEVEN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MICHAEL
Last Name:KAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15243 LA CRUZ DR
Mailing Address - Street 2:652
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3616
Mailing Address - Country:US
Mailing Address - Phone:310-871-3434
Mailing Address - Fax:206-202-4724
Practice Address - Street 1:6331 GREENLEAF AVE
Practice Address - Street 2:STE G
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3553
Practice Address - Country:US
Practice Address - Phone:562-360-1556
Practice Address - Fax:206-202-4724
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2021-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG29768207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44151Medicare UPIN