Keith L Agre, MD, Medical Corporation
Keith L Agre, MD, Medical Corporation is a Medical Specialty Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1125 S Beverly Dr Ste 110Los Angeles, CA 90035-1148
Phone: (310) 276-2033
Fax: (310) 858-3857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence C24838 (CA) |
|---|
Record details
| NPI number | 1760664411 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Agre — President · (310) 276-2033 |
| NPI enumerated | December 4, 2007 |
| Last updated in NPPES | December 4, 2007 |
| Mailing address | 1125 S Beverly Dr, Suite 110, Los Angeles, CA 90035-1148 |
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