National Provider Identifier Database

KEY HEALTH MEDICAL GROUP
Body Imaging

A Radiology doctor of Osteopathy that specializes in Body Imaging.


Contact Information

KEY HEALTH MEDICAL GROUP
30699 RUSSELL RANCH ROAD
SUITE 175
WESTLAKE VILLAGE, CA91362
Phone: 818-575-5300
Fax: 818-575-3458
Website:
Specialty Taxonomy Code
* Body Imaging 2085B0100X

* Indicates primary specialty

NPI Profile & details for KEY HEALTH MEDICAL GROUP

NPI Number 1407061559
Legal business name
LBN
KEY HEALTH MEDICAL GROUP
Authorized official WILLIAM GLENN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/11/2007
Last updated 06/21/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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