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Organization
KEITH EBILANE, M.D., INC.
Active
Organization
KEITH EBILANE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH EBILANE M.D. (PHYSICIAN)
(310) 644-8683
Entity
Organization
Contact information
Practice address
13429 HAWTHORNE BLVD, HAWTHORNE, CA 90250-5803
(310) 644-8683
(310) 644-0132
Mailing address
13429 HAWTHORNE BLVD, HAWTHORNE, CA 90250-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
12/02/2016
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