William Daniel Keith Jr MD Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

WILLIAM DANIEL KEITH JR MD INC

Practice address

6200 Wilshire Blvd
Suite 1111
Los Angeles, CA 90048

Phone

(323) 932-0382

Fax

(323) 932-0653

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Daniel Keith Jr., M.D.NPI 1326188707

Title

Doctor

Phone

(323) 932-0382

Specialties & licenses 1

Addresses

Other names 1

• William D. Keith,Jr.,M.D., Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Daniel Keith Jr., M.D. , INC.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1326188707

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1285755496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-932-0382",
            "fax_number": "323-932-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-932-0382",
            "fax_number": "323-932-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DANIEL KEITH JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "323-932-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William D. Keith,Jr.,M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "William D. Keith,Jr.,M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.