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Individual

MR. ROBERT RYAN KEENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(626) 384-3050
Mailing address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(626) 384-3050

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
CA
225400000X
Rehabilitation Practitioner
CA

Other

Enumeration date
09/11/2008
Last updated
08/11/2023
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