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Organization
MICHAEL I KELLER M.D. INC
Active
Organization
MICHAEL I KELLER M.D. INC
Active
Other names
San Diego Arthritis Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IRA KELLER M.D. (PRESIDENT)
(619) 287-9730
Entity
Organization
Contact information
Practice address
3633 CAMINO DEL RIO S, #300, SAN DIEGO, CA 92108-4011
(619) 287-9730
(619) 287-4516
Mailing address
3633 CAMINO DEL RIO S, #300, SAN DIEGO, CA 92108-4011
(619) 287-9730
(619) 287-4516
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104520
—
CA
05
—
GR0104521
—
CA
05
—
GR0104522
—
CA
05
—
GR0104523
—
CA
Enumeration date
09/26/2006
Last updated
08/27/2010
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