Basic Information
| Provider Information | |||||||||
| NPI: | 1023416211 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LUKE KAMEL MD, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 703 PIER AVE, SUITE B #712 | ||||||||
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| City: | HERMOSA BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90254 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3700 E. SOUTH ST | ||||||||
| Address2: | DEPARTMENT OF SURGERY | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5625312550 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2014 | ||||||||
| LastUpdateDate: | 01/25/2018 | ||||||||
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| AuthorizedOfficialLastName: | KAMEL | ||||||||
| AuthorizedOfficialFirstName: | LUKE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5624723266 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.