Provider Demographics
NPI:1710002084
Name:KAY, STEVEN ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ROBERT
Last Name:KAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15827 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2531
Mailing Address - Country:US
Mailing Address - Phone:562-947-9929
Mailing Address - Fax:562-947-5009
Practice Address - Street 1:15827 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2531
Practice Address - Country:US
Practice Address - Phone:562-947-9929
Practice Address - Fax:562-947-5009
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC018840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGDC000330Medicaid
CAWDC018840AMedicare ID - Type UnspecifiedMEDICARE NUMBER
CAGDC000330Medicaid