Individual
DR. LISA KELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292-5424
(310) 656-1770
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A5062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX50620
—
CA
Enumeration date
11/25/2006
Last updated
07/21/2022
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