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Dr. Keith Lanier Black, MD
Specialist in Los Angeles, California
NPI 1841284460

Keith Lanier Black is a Specialist based in Los Angeles, CA. Keith Lanier Black practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Keith Lanier Black is 1841284460 and holds a License No. G60334 (California).

The current practice location address for Keith Lanier Black is 8700 Beverly Blvd, Los Angeles, CA and can be reached out via phone at 310-967-1884 and via fax at 310-967-1744.

Location: 8700 Beverly Blvd, Los Angeles, CA, 90051-0717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841284460
Provider Name
Keith Lanier Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8700 Beverly Blvd, Los Angeles, CA, 90051-0717
Phone Number
310-967-1884
Fax Number
310-967-1744
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
Los Angeles
State
California
Zip
90048-1865
Phone Number
310-967-1884
Fax Number
310-967-1744
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
Los Angeles
State
California
Zip
90048-1865
Phone Number
310-967-1884
Fax Number
310-967-1744
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G60334 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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