# KEITH A. ROBERTSON, M.D. APC

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

## Provider details

- **NPI number:** 1639387194
- **Authorized official:** DR. KEITH A ROBERTSON M.D. (PHYSICIAN)
- **Authorized official phone:** (805) 648-3902

## Contact information

- **Practice address:** 168 N BRENT ST STE 505, VENTURA, CA 93003-2840
- **Practice address phone:** (805) 648-3902
- **Practice address fax:** (805) 648-4014
- **Mailing address:** 168 N BRENT ST STE 505, VENTURA, CA 93003-2840
- **Mailing address phone:** (805) 648-3902
- **Mailing address fax:** (805) 648-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A70336 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A703360 | — | CA |