Keith Ebilane, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KEITH EBILANE, M.D., INC.

Practice address

13429 Hawthorne Blvd
Hawthorne, CA 90250-5803

Phone

(310) 644-8683

Fax

(310) 644-0132

NPI assigned

Nov 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Ebilane, M.D.

Title

Physician

Phone

(310) 644-8683

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1003359555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13429 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13429 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505803",
            "telephone_number": "310-644-8683",
            "fax_number": "310-644-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH EBILANE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "EBILANE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-644-8683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.