Keith E. Harris M.D. Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G42622 Issued in CA

Legal business name

KEITH E. HARRIS M.D. INC.

Practice address

3628 E Imperial Hwy
Suite 402
Lynwood, CA 90262-2643

Phone

(310) 605-0123

Fax

(310) 605-2678

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Keith E Harris, M.D.NPI 1538235726

Title

Owner

Phone

(310) 605-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Keith E Harris, MD

  • Gastroenterology Physician
  • Corvallis, OR
  • NPI 1538235726
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1730307091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2489",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902420489",
            "telephone_number": "310-605-0123",
            "fax_number": "310-605-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 E IMPERIAL HWY",
            "address_2": "SUITE 402",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622643",
            "telephone_number": "310-605-0123",
            "fax_number": "310-605-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH E. HARRIS M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-605-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G42622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G426220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Kaplan, MD
• Frangis Karamedin, M.D.
• Piyush Tulsida Karia, D.D.S
• Karol Bowens,M.D., a Medical Corporation
• Clayton D Kazan, MD
• Natalie Kellerman
• Dachelle Unique Kendrick
• Charro Bijan Kennebruew
• John Kennedy Jr., M.A.
• Linda Maria Kent

• Gastroenterology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.