KELLY NICOLE LUNZER (NPI# 1699800805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699800805 |
| Entity Type | Individual |
| Full Name | KELLY NICOLE LUNZER |
| Other Name | KELLY NICOLE LUNZER |
| Credential | P.A. |
| Practice Address |
3445 Pacific Coast Hwy Suite 100 Torrance CA 90505-6658 |
| Mailing Address |
3445 Pacific Coast Highway Suite 100 Torrance CA 90505 |
| Practice Telephone | 3105426333 |
| Practice Fax Number | 3105424695 |
| Mailing Telephone | 3105426333 |
| Mailing Fax Number | 3105424695 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18669 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3445 PACIFIC COAST HWY SUITE 100 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-6658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994080 | Pacific Endo-surgical Center, Lp | Clinic/Center | 3445 Pacific Coast Hwy, Suite 120, Torrance, CA 90505-6658 | 2005-07-03 |
| 1386182558 | Kpw Urology Specialty Group | Urology | 3445 Pacific Coast Hwy, 140, Torrance, CA 90505-6658 | 2017-02-07 |
| 1932642477 | Kpw Urology Specialty Group | Urology | 3445 Pacific Coast Hwy, Suite 310, Torrance, CA 90505-6658 | 2016-12-01 |
| 1740663160 | Vernon R. Wilson, Md A Professional Medical Corporation | Dermatology | 3445 Pacific Coast Hwy, 220, Torrance, CA 90505-6658 | 2015-07-02 |
| 1497099360 | Leanna Nicole Gonzales | Physician Assistant | 3445 Pacific Coast Hwy, Suite 310, Torrance, CA 90505-6658 | 2012-11-16 |
| 1134473705 | Julie Yen Urone | Physician Assistant | 3445 Pacific Coast Hwy, #200, Torrance, CA 90505-6658 | 2012-11-05 |
| 1659625713 | Shirley Hsu Lee | Nurse Practitioner | 3445 Pacific Coast Hwy, #310, Torrance, CA 90505-6658 | 2012-10-28 |
| 1184915266 | South Bay Surgical Center Group, Inc. | Clinic/Center | 3445 Pacific Coast Hwy, Suite 250, Torrance, CA 90505-6658 | 2011-04-25 |
| 1730406224 | Jason Hove | Family Medicine | 3445 Pacific Coast Hwy, Suite 100, Torrance, CA 90505-6658 | 2010-04-23 |
| 1437394020 | Joachim W. Granzow, M.d., M.p.h., Inc. | Specialist | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-6658 | 2008-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037550 | Krishna Patel | Physician Assistant | 20911 Earl St Ste 310, Torrance, CA 90503-4355 | 2010-02-08 |
| 1952469959 | Joy P Cheung | Physician Assistant | 17575 Yukon Ave, Apt. D1, Torrance, CA 90504-3448 | 2006-12-04 |
| 1730269564 | Tri T Le | Physician Assistant | 19401 S Vermont Ave Ste L100, Torrance, CA 90502-4459 | 2006-10-16 |
| 1861590804 | Lesette D Witherspoon | Physician Assistant | 19401 S Vermont Ave, Bldg L-100, Torrance, CA 90502-1029 | 2006-09-21 |
| 1245249507 | Gary Bruce Barlow | Physician Assistant | 21081 S Western Ave Ste 150, Torrance, CA 90501-1707 | 2006-08-05 |
| 1033698717 | Melody Castellon | Physician Assistant | 4305 Torrance Blvd, Torrance, CA 90503-4409 | 2018-08-13 |
| 1578962726 | Susann E Jones | Physician Assistant | 23530 Hawthorne Blvd, Suite 290, Torrance, CA 90505-4765 | 2014-08-13 |
| 1740526763 | Seung-hee Moon | Physician Assistant | 23530 Hawthorne Blvd, Suite 290, Torrance, CA 90505-4765 | 2012-12-19 |
| 1134473705 | Julie Yen Urone | Physician Assistant | 3445 Pacific Coast Hwy, #200, Torrance, CA 90505-6658 | 2012-11-05 |
| 1043594047 | Sharon Pabla | Physician Assistant | 2573 Pacific Coast Hwy Ste B, Pacific Coast Highway, Torrance, CA 90505-7950 | 2011-10-10 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.