MEDICARE: DR. PAUL HOWARD KEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	A26127	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013945328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HOWARD KEY MD

Provider Business Mailing Address
First Line	:	5805 WHITE OAK AVE
Second Line	:	UNIT #18601
City	:	ENCINO
State	:	CA
Zip	:	91416-5128
Country	:	US
Telephone Number	:	310-836-7414
Fax Number	:	310-836-7485

Provider Business Practice Location Address
First Line	:	9808 VENICE BLVD
Second Line	:	SUITE 503
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2732
Country	:	US
Telephone Number	:	310-836-7414
Fax Number	:	310-836-7485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	05/07/2014

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