Individual
JAMES KELLER WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 503, GLENDALE, CA 91205-5612
(818) 547-5400
(818) 547-3380
Mailing address
1725 MONTEREY BLVD, HERMOSA BEACH, CA 90254-2905
(213) 700-8488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A88510
CA
208D00000X
General Practice Physician
Primary
A88510
CA
Other
Enumeration date
01/25/2007
Last updated
11/12/2021
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