Kelly Nicole Lunzer, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA18669 Issued in CA

Practice address

3445 Pacific Coast Hwy
Suite 100
Torrance, CA 90505-6658

Phone

(310) 542-6333

Fax

(310) 542-4695

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Nicole Lunzer Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1699800805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HIGHWAY",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-542-6333",
            "fax_number": "310-542-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056658",
            "telephone_number": "310-542-6333",
            "fax_number": "310-542-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNZER",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LUNZER",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lundberg-Lee Medical Corporation
• John Arthur Lundberg, M.D.
• Alexandra Lundy
• Sarah Goodman Lunn
• David Louis Lunsford, CRNA, MS
• Cynthia Luo, MD
• Jenny Luo
• Jiayi Luo, MD
• Ruihong Luo, MD
• Ellen Luong

• Medical Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.