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

Mr. Keith William McGill, PHYSICIANASSISTANT

Individual provider Dermatology Physician · NPI 1629169396

Mr. Keith William McGill, PHYSICIANASSISTANT is a Dermatology Physician in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

150 S Pico Ave 14342 Bora Dr La Mirada 90638
Long Beach, CA 90802
Phone: (562) 432-2821
Fax: (562) 437-1353
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PA11313 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 11313 (CA)

Record details

NPI number1629169396
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMay 7, 2008

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