Life Line Wound Care Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LIFE LINE WOUND CARE INC.

Practice address

22631 Pacific Coast Hwy # 441
Malibu, CA 90265-5036

Phone

(310) 459-9889

Fax

(206) 202-4724

NPI assigned

Nov 30, 2010

Organization subpart

Yes

Parent organization

LIFE LINE WOUND CARE INCAs reported in NPPES

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

Authorized official

Name

Steven M Kaye, M.D.

Title

Owner/Ceo

Phone

(818) 992-1801

Specialties & licenses 1

Addresses

Tax ID family

Life Line Wound Care Inc2 organizations share this tax ID, including this one

Part of

Life Line Wound Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeline Wound Care

  • Health Maintenance Organization
  • Malibu, CA
  • NPI 1790097145
  NPD tax ID

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1801198643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 115",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640929",
            "telephone_number": "818-992-1801",
            "fax_number": "818-992-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22631 PACIFIC COAST HWY # 441",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655036",
            "telephone_number": "310-459-9889",
            "fax_number": "206-202-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE WOUND CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE LINE WOUND CARE INC",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-992-1801",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Kaiser Larson, M.D.
• Nicole Mariko Elby Lee, PT,DPT,SCS,ATC,CSCS
• Leisure Living, Inc.
• Justin J. Leitstein, LMFT
• Justin Letzt, DC
• Lifeline Wound Care
• Jonathan Lim, PHARM.D.
• Litos O. Mallare, M.D., Inc.
• Peiju Liu
• Bruce Lockwood, M.D.

• Medical Specialty Clinic/Center in Malibu, CA
• Providers in Malibu, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.