Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keagle Medical, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1770720641

Keagle Medical, Inc is a Plastic and Reconstructive Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2614 Arthur St Ste C
Los Angeles, CA 90065-3990
Phone: (213) 250-1300
Fax: (213) 559-9473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence A64773 (CA)

Record details

NPI number1770720641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Keagle — President · (213) 505-6012
NPI enumeratedJanuary 14, 2009
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address2614 Arthur St Ste C, Los Angeles, CA 90065-3990

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