Keith L Agre, Md, Medical Corporation in Los Angeles - Medical Specialty
Keith L Agre, Md, Medical Corporation - NPI 1760664411
Keith L Agre, Md, Medical Corporation is a Medical Specialty in Los Angeles, California. Keith L Agre, Md, Medical Corporation practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Keith L Agre, Md, Medical Corporation is 1760664411. The last update date is 2007-12-04.
Keith L Agre, Md, Medical Corporation's current location address is 1125 S Beverly Dr, Los Angeles, California. You can contact this provider via phone number 3102762033 and fax number 3108583857. The mailing address for Keith L Agre, Md, Medical Corporation is 1125 S Beverly Dr, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith L Agre, Md, Medical Corporation |
|---|---|
| Address | 1125 S Beverly Dr, Los Angeles, California |
| Phone Number | 3102762033 |
| Fax Number | 3108583857 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Agre L Keith |
| Credentials | M.D. |
| Telephone Number | 3102762033 |
NPI Number Detail
| NPI Number | 1760664411 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 1125 S Beverly Dr |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900351148 |
| Phone Number | 3102762033 |
| Fax Number | 3108583857 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | C24838 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Post Comment/ Review Below
What is the unique identifier code issued to Keith L Agre, Md, Medical Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Keith L Agre, Md, Medical Corporation has been assigned the NPI (National Provider Identifier) 1760664411. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Keith L Agre, Md, Medical Corporation's physical address?
The Keith L Agre, Md, Medical Corporation is physically located at 1125 S Beverly Dr, in the city of Los Angeles, CA, with the postal code 900351148.
What is Keith L Agre, Md, Medical Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith L Agre, Md, Medical Corporation is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did Keith L Agre, Md, Medical Corporation receive its 1760664411 assignment from the Centers for Medicare & Medicaid Services?
The Keith L Agre, Md, Medical Corporation was assigned its 1760664411 on 2007-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Keith L Agre, Md, Medical Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith L Agre, Md, Medical Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-04.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN