Provider Demographics
NPI:1740320183
Name:KAY, LYNDA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:LEE
Last Name:KAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MAY
Other - Middle Name:THAN
Other - Last Name:AUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MB,BS
Mailing Address - Street 1:PO BOX 3347
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-0334
Mailing Address - Country:US
Mailing Address - Phone:949-244-9362
Mailing Address - Fax:
Practice Address - Street 1:33560 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3111
Practice Address - Country:US
Practice Address - Phone:510-489-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF69109Medicare UPIN