# KEITH A. MARCUS, MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marcus Facial Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952552416
- **Authorized official:** DR. KEITH ALAN MARCUS M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (310) 544-5010

## Contact information

- **Practice address:** 1815 VIA EL PRADO, SUITE 102, REDONDO BEACH, CA 90277-5722
- **Practice address phone:** (310) 544-5010
- **Mailing address:** 1815 VIA EL PRADO, SUITE 102, REDONDO BEACH, CA 90277-5722
- **Mailing address phone:** (310) 544-5010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A102230 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 10/02/2008