Keith Edward Blackwell in Los Angeles - Otolaryngology
Keith Edward Blackwell - NPI 1669496964
Keith Edward Blackwell is a Otolaryngology in Los Angeles, California. Keith Edward Blackwell practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Keith Edward Blackwell is 1669496964. The last update date is 2010-08-31.
Keith Edward Blackwell's current location address is 5767 W Century Blvd, Los Angeles, California. You can contact this provider via phone number 3102066688. The mailing address for Keith Edward Blackwell is 5767 W Century Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Edward Blackwell |
|---|---|
| Address | 5767 W Century Blvd, Los Angeles, California |
| Phone Number | 3102066688 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669496964 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2010-08-31 |
Provider Mailing Address Detail
| Address | 5767 W Century Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900455631 |
| Phone Number | 3102066688 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | G68815 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G68150 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Keith Edward Blackwell by the Centers for Medicare & Medicaid Services?
The Keith Edward Blackwell has been issued the NPI (National Provider Identifier) 1669496964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Keith Edward Blackwell located?
The Keith Edward Blackwell is located at 5767 W Century Blvd, Los Angeles, CA 900455631.
What is Keith Edward Blackwell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Edward Blackwell is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
On what date did the Keith Edward Blackwell receive the assignment of its 1669496964 from the Centers for Medicare & Medicaid Services?
The Keith Edward Blackwell was issued its 1669496964 by the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information related to Keith Edward Blackwell most recently updated or refreshed?
The details pertaining to the Keith Edward Blackwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-31.