Organization
MARSHALL JAY KEYES M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL JAY KEYES MD (PRES.)
(310) 446-1822
Entity
Organization
Contact information
Practice address
1964 WESTWOOD BLVD STE 110, LOS ANGELES, CA 90025-4683
(310) 446-1822
(310) 446-1362
Mailing address
1964 WESTWOOD BLVD STE 110, LOS ANGELES, CA 90025-4683
(310) 446-1822
(310) 446-1362
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G26695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G266950
—
CA
Enumeration date
05/21/2009
Last updated
05/21/2009
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