Individual
KEITH F. KILLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033-5312
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C55459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476635910
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
KK067945
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
11/27/2023
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