Keith Boston, M.D. Family Practice

LBN: Keith Boston, M.D. Family Practice
Keith Boston, M.D. Family Practice is an health care organization with primary practice located at 3150 Gilmore St , Placerville CA 95667-5500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Keith Boston, M.D. Family Practice can be contacted via phone (530) 622-4884, or through Boston, Keith J via phone (530) 622-4884.

Contact Information

Primary practice address
3150 Gilmore St Placerville CA 95667-5500
Phone: (530) 622-4884
Fax: (530) 622-1303
Website:
Map and Directions
Authorized official contact:
Name: Boston, Keith J Doctor of Medicine (MD)
Phone: (530) 622-4884

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G53533 California

Profile Details

NPI number 1013104975
LBN Legal business name Keith Boston, M.D. Family Practice
DBA Doing business as
Authorized official Boston, Keith J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013104975 NPPES
California MEDICAID 00G535530

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