KEY HEALTH MEDICAL GROUP NPI 1407061559

NPI Information

  • NPI: 1407061559
  • Provider Name: KEY HEALTH MEDICAL GROUP
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Organization
  • Address: 30699 RUSSELL RANCH ROAD
    SUITE 175
    WESTLAKE VILLAGE, CA
    ZIP 91362
  • Phone: (818) 575-5300

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NPI Details

KEY HEALTH MEDICAL GROUP is a body imaging radiology in Westlake Village, CA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. KEY HEALTH MEDICAL GROUP NPI is 1407061559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30699 RUSSELL RANCH ROAD
SUITE 175
WESTLAKE VILLAGE, CA
ZIP 91362
Phone: (818) 575-5300
Fax: (818) 575-3458

The provider's authorized official is William Glenn .
The authorized official title is President and has the following contact phone number (818) 575-5300.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 6/21/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingYes

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: 3/30/2025

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