Organization
PHOENIX DIAGNOSTIC MEDICAL GROUP, INC.
Active
Organization
PHOENIX DIAGNOSTIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN KAYE M.D. (OWNER)
(310) 871-3434
Entity
Organization
Contact information
Practice address
20301 VENTURA BLVD STE 105, WOODLAND HILLS, CA 91364-2447
(310) 871-3434
Mailing address
22361 PACIFIC COAST HWY # 441, MALIBU, CA 90265-4879
(310) 871-3434
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G29768
CA
Other
Enumeration date
04/07/2010
Last updated
07/09/2010
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