Individual
JOEL BENNER KEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, LOWER LEVEL, SUITE 1600, LOS ANGELES, CA 90033-5310
(323) 442-7450
(323) 442-7452
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
(323) 442-7450
(323) 442-7452
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C35344
CA
2085R0202X
Diagnostic Radiology Physician
MD019313E
PA
Other
Enumeration date
01/17/2006
Last updated
04/26/2012
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