# LIFELINE WOUND CARE

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

## Provider details

- **NPI number:** 1790097145
- **Authorized official:** DR. STEVEN KAYE M.D. (PRESIDENT)
- **Authorized official phone:** (310) 871-3434

## Contact information

- **Practice address:** 22361 PACIFIC COAST HWY, STE 441, MALIBU, CA 90265
- **Practice address phone:** (818) 992-1801
- **Mailing address:** 20301 VENTURA BLVD, SUITE 115, WOODLAND HILLS, CA 91364-2447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | G29768 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2010
- **Last updated:** 07/13/2010