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MARSHALL JAY KEYES M D A MEDICAL CORPORATION NPI 1376778167


NPI Information

NPI: 1376778167
Provider Name: MARSHALL JAY KEYES M D A MEDICAL CORPORATION
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1964 WESTWOOD BLVD STE 110
LOS ANGELES, CA
ZIP 90025
Phone: (310) 446-1822
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MARSHALL JAY KEYES M D A MEDICAL CORPORATION is an ophthalmology in Los Angeles, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MARSHALL JAY KEYES M D A MEDICAL CORPORATION NPI is 1376778167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1964 WESTWOOD BLVD STE 110
LOS ANGELES, CA
ZIP 90025-683
Phone: (310) 446-1822
Fax: (310) 446-1362

The provider's authorized official is Marshall Jay Keyes .
The authorized official title is Pres. and has the following contact phone number (310) 446-1822.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 5/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyG26695CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G266950MEDICAIDCALIFORNIA
2A91002MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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