# KEITH V. RUNDLE M.D., INC.

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

## Provider details

- **NPI number:** 1962426304
- **Authorized official:** KEITH VINCENT RUNDLE M.D. (OWNER)
- **Authorized official phone:** (714) 558-2822

## Contact information

- **Practice address:** 1031 W CHAPMAN AVE STE 203, ORANGE, CA 92868-2872
- **Practice address phone:** (714) 558-2822
- **Practice address fax:** (714) 835-3726
- **Mailing address:** 1031 W CHAPMAN AVE, SUITE 203, ORANGE, CA 92868-2872
- **Mailing address phone:** (714) 558-2822
- **Mailing address fax:** (714) 835-3726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G97929 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 01/29/2015