Healthcare Provider Details

I. General information

NPI: 1801916499
Provider Name (Legal Business Name): RICHARD KEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8227 RESEDA BOULEVARD NORTHRIDGE DIAGNOSTIC CENTER
NORTHRIDGE CA
91335-0000
US

IV. Provider business mailing address

1516 COTNER AVE
LOS ANGELES CA
90025-3303
US

V. Phone/Fax

Practice location:
  • Phone: 818-773-6500
  • Fax: 818-701-5936
Mailing address:
  • Phone: 310-445-2951
  • Fax: 310-479-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG37219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: