Individual
DR. KEITH JOSEPH YABLONICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90033-1029
(323) 226-6937
(323) 226-6454
Mailing address
1200 N STATE ST, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90033-1029
(323) 226-6937
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A81617
CA
208D00000X
General Practice Physician
A81617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861487969
—
CA
Enumeration date
09/14/2005
Last updated
09/08/2009
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