# PHOENIX DIAGNOSTIC MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639494206
- **Authorized official:** DR. STEVEN KAYE M.D. (OWNER)
- **Authorized official phone:** (310) 871-3434

## Contact information

- **Practice address:** 20301 VENTURA BLVD STE 105, WOODLAND HILLS, CA 91364-2447
- **Practice address phone:** (310) 871-3434
- **Mailing address:** 22361 PACIFIC COAST HWY \# 441, MALIBU, CA 90265-4879
- **Mailing address phone:** (310) 871-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | G29768 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2010
- **Last updated:** 07/09/2010