Keith a. Marcus, MD Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A102230 Issued in CA

Legal business name

KEITH A. MARCUS, MD INC.

Doing business as

Marcus Facial Plastic Surgery

Practice address

1815 Via El Prado
Suite 102
Redondo Beach, CA 90277-5722

Phone

(310) 544-5010

NPI assigned

Oct 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Keith Alan Marcus, M.D.

Title

Physician/Owner

Phone

(310) 544-5010

Specialties & licenses 1

Addresses

Other names 1

• Marcus Facial Plastic Surgery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1952552416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775722",
            "telephone_number": "310-544-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775722",
            "telephone_number": "310-544-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. MARCUS, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "310-544-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A102230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcus Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane D. Kay, M.S.W., PH.D.
• Mitchell Bennett Kayle
• Alicja Emilia Kazmierowska
• Lauren Keats
• Juli Faith Keene, CN
• Keith T Komatsu DDS Apc
• Kelli Rea Marriage & Family Therapy, Inc. (Mental Wealth Psychotherapy)
• Elizabeth Kennedy
• Andrew Kent, MA, CCC-SLP
• Alice Kerney

• Medical Specialty Clinic/Center in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.