David M Kelley, MD | |
8950 W Olympic Blvd, Suite 262, Beverly Hills, CA 90211-3561 | |
(310) 277-2255 | |
Not Available |
Full Name | David M Kelley |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 8950 W Olympic Blvd, Beverly Hills, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417127317 | NPI | - | NPPES |
00G597740 | Medicaid | CA | |
215964201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | MD60931082 (Washington) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | G59774 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Providence Holy Family Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Intensivists Of Washington Pllc | 5395018808 | 64 |
Entity Name | Sound Physicians Intensivists Of Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528582699 PECOS PAC ID: 5395018808 Enrollment ID: O20170905003311 |
Mailing Address | Practice Location Address |
---|---|
David M Kelley, MD Po Box V, Mountain View, CA 94040-0150 Ph: (650) 691-0611 | David M Kelley, MD 8950 W Olympic Blvd, Suite 262, Beverly Hills, CA 90211-3561 Ph: (310) 277-2255 |
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