Individual
KEITH VINNECOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6300 WILSHIRE BLVD STE 150, LOS ANGELES, CA 90048-5211
(323) 866-2555
Mailing address
6300 WILSHIRE BLVD STE 150, LOS ANGELES, CA 90048-5211
(323) 866-2555
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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