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Keith L Agre, Md, Medical Corporation
Medical Specialty Clinic/Center in Los Angeles, California
NPI 1760664411

Keith L Agre, Md, Medical Corporation is a Medical Specialty Clinic/Center based in Los Angeles, CA and is specialized in Medical Specialty. Keith L Agre, Md, Medical Corporation practices in Los Angeles, CA. The NPI Number for Keith L Agre, Md, Medical Corporation is 1760664411 and holds a License No. C24838 (California).

The current practice location address for Keith L Agre, Md, Medical Corporation is 1125 S Beverly Dr, Los Angeles, CA and can be reached out via phone at 310-276-2033 and via fax at 310-858-3857.

Location: 1125 S Beverly Dr, Los Angeles, CA, 90035-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760664411
Provider Name
Keith L Agre, Md, Medical Corporation
Credential
Provider Entity Type
Organization
Address
1125 S Beverly Dr, Los Angeles, CA, 90035-1148
Phone Number
310-276-2033
Fax Number
310-858-3857
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1125 S Beverly Dr
City
Los Angeles
State
California
Zip
90035-1148
Phone Number
310-276-2033
Fax Number
310-858-3857
person
Provider Business Mailing Address Details
Address
1125 S Beverly Dr
City
Los Angeles
State
California
Zip
90035-1148
Phone Number
310-276-2033
Fax Number
310-858-3857
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
C24838 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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