Marshall Jay Keyes M D a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G26695 Issued in CA

Legal business name

MARSHALL JAY KEYES M D A MEDICAL CORPORATION

Practice address

1964 Westwood Blvd Ste 110
Los Angeles, CA 90025-4683

Phone

(310) 446-1822

Fax

(310) 446-1362

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Jay Keyes, MD

Title

Pres.

Phone

(310) 446-1822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1376778167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 WESTWOOD BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254683",
            "telephone_number": "310-446-1822",
            "fax_number": "310-446-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 WESTWOOD BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254683",
            "telephone_number": "310-446-1822",
            "fax_number": "310-446-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL JAY KEYES M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "310-446-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G266950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert Marshak, MD
• Sidney Marshak, M.D.
• Marshal P Fichman MD a Professional Corp
• Marshall B. Ketchum University/University Eye Center at Los Angeles (Optometric Center of Los Angeles)
• Marshall Dental Group
• Marshall L. Grode, M.D a Professional Corporation
• Andre Orlando Marshall, RPFT
• Brandon Lamont Marshall
• Denise Marshall
• Irene Yamaga Marshall, PHARM.D.

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.