DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KEITH HENDERSON II

MEDICARE: KEITH HENDERSON II
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
1171M00000XCase Manager/Care Coordinator5845CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15845OTHERCACAS REGISTRATION

General Provider Information

NPI Number : 1215130430
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH HENDERSON II
Provider Business Mailing Address
First Line : 2127 E 99TH PL
Second Line : #193
City : LOS ANGELES
State : CA
Zip : 90002-3152
Country : US
Telephone Number : 323-220-9356
Fax Number : 323-933-5973
Provider Business Practice Location Address
First Line : 5115 W ADAMS BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90016-2727
Country : US
Telephone Number : 323-933-3439
Fax Number : 323-933-5973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1023228962 — TEAM ONE STOP, INC
Practice Location Address:
5115 W ADAMS BLVD
LOS ANGELES, CA
90016-2727
Practice Phone: 323-933-4391
Practice Fax: 323-933-5973
1700088135 — MR. TRAVON K FINKS
Practice Location Address:
5115 W ADAMS BLVD
LOS ANGELES, CA
90016-2727
Practice Phone: 323-933-4391
Practice Fax: 323-933-5973
1023210457 — FREDA A GARRETT
Practice Location Address:
5115 W ADAMS BLVD
LOS ANGELES, CA
90016-2727
Practice Phone: 323-933-4391
Practice Fax: 323-933-5973
1770785107 — RASHIDA J SINGLETON
Practice Location Address:
5115 W ADAMS BLVD
LOS ANGELES, CA
90016-2727
Practice Phone: 323-933-4391
Practice Fax: 323-933-5973
1578766713 — NICHOLAS CHARLES ALEXANDER
Practice Location Address:
5115 W ADAMS BLVD
LOS ANGELES, CA
90016-2727
Practice Phone: 323-296-4411
Practice Fax: 323-933-5973
1568665727 — SHUNTE WALLACE
Practice Location Address:
5115 W ADAMS BLVD
LOS ANGELES, CA
90016-2727
Practice Phone: 323-933-4391
Practice Fax: 323-933-5973

Directions to “ KEITH HENDERSON II ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.