Individual
KEITH EUSTACE LORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 DIVISADERO ST, SAN FRANCISCO, CA 94115-2516
(415) 965-7944
(415) 965-7933
Mailing address
3400 DATA DRIVE, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A51091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A510910
—
CA
01
—
930067668
RAILROAD MEDICARE
CA
Enumeration date
06/11/2006
Last updated
07/17/2017
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