Provider Demographics
NPI:1871021295
Name:LYNDA LEE KAY, M.D., INC
Entity Type:Organization
Organization Name:LYNDA LEE KAY, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-244-9362
Mailing Address - Street 1:1828 EL CAMINO REAL STE 802
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3124
Mailing Address - Country:US
Mailing Address - Phone:650-303-0220
Mailing Address - Fax:650-303-0220
Practice Address - Street 1:1828 EL CAMINO REAL STE 802
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3124
Practice Address - Country:US
Practice Address - Phone:650-303-0220
Practice Address - Fax:650-303-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A52407OtherPRIMARY CARE