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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 Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for KEY HEALTH MEDICAL GROUP

NPI Number 1407061559
LBN Legal business name KEY HEALTH MEDICAL GROUP
Authorized official WILLIAM GLENN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 06/21/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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