Ebilane, Keith Andrew Kagahastian
Ebilane, Keith Andrew Kagahastian is an individual health care provider with primary practice located at 1212 W Redondo Beach Blvd , Gardena CA 90247-3411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ebilane, Keith Andrew Kagahastian can be contacted via phone (310) 225-2825.Contact Information
Primary practice address
1212 W Redondo Beach Blvd
Gardena CA 90247-3411
Phone: (310) 225-2825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A140101 | California |
Profile Details
| NPI number | 1225370679 |
|---|---|
| LBN Legal business name | Ebilane, Keith Andrew Kagahastian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2013 |
| Last updated | Dec 29th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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