KEAGLE MEDICAL INC. NPI 1770720641

NPI Information

KEAGLE MEDICAL, INC. is a plastic and reconstructive surgery surgery in Los Angeles, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. KEAGLE MEDICAL, INC. NPI is 1770720641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1245 WILSHIRE BLVD
SUITE 601
LOS ANGELES, CA
ZIP 90017-810
Phone: (213) 250-1300

The provider's authorized official is Jennifer Newman Keagle .
The authorized official title is President and has the following contact phone number (213) 505-6012.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 2/14/2011.

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:

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