Organization
KEITH V. RUNDLE M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH VINCENT RUNDLE M.D. (OWNER)
(714) 558-2822
Entity
Organization
Contact information
Practice address
1031 W CHAPMAN AVE STE 203, ORANGE, CA 92868-2872
(714) 558-2822
(714) 835-3726
Mailing address
1031 W CHAPMAN AVE, SUITE 203, ORANGE, CA 92868-2872
(714) 558-2822
(714) 835-3726
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G97929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G797290
—
CA
Enumeration date
07/27/2006
Last updated
01/29/2015
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