Key Health Medical Group

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

KEY HEALTH MEDICAL GROUP

Practice address

30699 Russell Ranch Road
Suite 175
Westlake Village, CA 91362

Phone

(818) 575-5300

Fax

(818) 575-3458

NPI assigned

May 11, 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 Glenn

Title

President

Phone

(818) 575-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1407061559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30699 RUSSELL RANCH ROAD",
            "address_2": "SUITE 175",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "818-575-5300",
            "fax_number": "818-575-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30699 RUSSELL RANCH ROAD",
            "address_2": "SUITE 175",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "818-575-5300",
            "fax_number": "818-575-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-575-5300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kendall, PSY.D.
• Debra Kenney, LCSW
• Julie A Kennington
• Kevin a Attaie Pharmaceutical, Inc (PCC Patient Consultation Center)
• Kevin L. Jan, D.M.D Inc.
• Misak Khachatryan, PSY.D.
• Dorna Khafajizad
• Rashel Khalfin
• Sana Hasib Khan, OTR/L
• Khanna Institute ASC

• Body Imaging Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Body Imaging Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.