# JOHN KELLEHER M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467993824
- **Authorized official:** DR. JOHN KELLEHER III M.D. (OWNER)
- **Authorized official phone:** (310) 721-0744

## Contact information

- **Practice address:** 9171 WILSHIRE BLVD STE 680, BEVERLY HILLS, CA 90210-5542
- **Practice address phone:** (310) 721-0744
- **Practice address fax:** (310) 359-8062
- **Mailing address:** 9171 WILSHIRE BLVD STE 680, BEVERLY HILLS, CA 90210-5542
- **Mailing address phone:** (310) 721-0744
- **Mailing address fax:** (310) 359-8062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A107765 | CA | Yes |

## Other

- **Enumeration date:** 03/17/2017
- **Last updated:** 03/17/2017