Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Kellman, DO

Individual provider Emergency Medicine Physician · NPI 1821164690

Dr. Lisa Kellman, DO is an Emergency Medicine in Marina del Rey, California. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1983, 43 years ago. Practices with Regents University of California, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Phone: (310) 656-1770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 S Raymond Ave, Alhambra, CA 91801-3166 — (626) 836-3020

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A5062 (CA)

Record details

NPI number1821164690
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 25, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1983 (43 years in practice)
Group practice Regents University Of California — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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