Keith Cameron Carlson MD

NPI 1093749640 - Dermatology - 207N00000X

NPI Details
NPI 1093749640
Gender Male
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 MEDICAL PLAZA
#450
LOS ANGELES CA, 90095, US
Phone (310) 825-0631
Fax
Business Location
FILE #55737
LOS ANGELES CA, 90074, US
Phone (310) 301-8708
Fax (310) 301-8751
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G50132
Remove 1093749640 NPI Number
 

According to our database, Keith Cameron Carlson MD NPI is 1093749640, taxonomy code is 207N00000X and license number is G50132, license state is located at California. Keith Cameron Carlson MD physically located at 200 Medical Plaza, Los Angeles CA, 90095. NPI Number Keith Cameron Carlson MD has the Individual type.

Sponsored links

1093749640 NPI number is provided on an as is basis without warranty of any kind. 1093749640 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Cameron Carlson MD are for informational purposes only.