Kissel, Lee

Kissel, Lee is an individual health care provider with primary practice located at 855 Manhattan Beach Blvd Suite 102, Manhattan Beach CA 90266-4965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kissel, Lee can be contacted via phone (310) 939-7858.

Contact Information

Primary practice address
855 Manhattan Beach Blvd Suite 102 Manhattan Beach CA 90266-4965
Phone: (310) 939-7858
Fax: (310) 939-7842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G45642 California

Profile Details

NPI number 1164473351
LBN Legal business name Kissel, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164473351 NPPES
California Other 00G456420 BLUE SHIELD

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