Organization
KEY HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GLENN (PRESIDENT)
(818) 575-5300
Entity
Organization
Contact information
Practice address
30699 RUSSELL RANCH ROAD, SUITE 175, WESTLAKE VILLAGE, CA 91362
(818) 575-5300
(818) 575-3458
Mailing address
30699 RUSSELL RANCH ROAD, SUITE 175, WESTLAKE VILLAGE, CA 91362
(818) 575-5300
(818) 575-3458
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
06/21/2010
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