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NPI Code Detail

MEDICARE: JAMES F KEEFE M D INC

MEDICARE: JAMES F KEEFE M D INC
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
1207ZC0500XCytopathology Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1235190513
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES F KEEFE M D INC
Provider Business Mailing Address
First Line : PO BOX 10076
Second Line :
City : VAN NUYS
State : CA
Zip : 91410-0076
Country : US
Telephone Number : 805-578-8300
Fax Number : 805-578-3911
Provider Business Practice Location Address
First Line : 4650 LINCOLN BLVD
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6306
Country : US
Telephone Number : 310-823-8911
Fax Number : 310-577-5653
Authorized Official
Title or Position : PRESIDENT
Name : JAMES F KEEFE
Credential : MD
Telephone Number : 310-680-8391
Provider Enumeration Date : 03/28/2006
Last Update Date : 08/27/2010

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