Individual
DAVID J KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8337 TELEGRAPH RD, PICO RIVERA, CA 90660-4909
(562) 776-3444
(562) 776-3411
Mailing address
8337 TELEGRAPH RD, PICO RIVERA, CA 90660-4941
(562) 776-3444
(562) 776-3411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G39942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G399420
MEDI-CAL
CA
Enumeration date
03/27/2006
Last updated
07/08/2007
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