Individual
DR. KEITH ALLEN EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865 COMSTOCK AVE, UNIT 3B, LOS ANGELES, CA 90024-2572
(818) 512-5575
(310) 275-0832
Mailing address
865 COMSTOCK AVE, UNIT 3B, LOS ANGELES, CA 90024-2572
(818) 512-5575
(310) 275-0832
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G54888
CA
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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