| Keith E. Harris M.d. Inc. | |
|
3628 E Imperial Hwy Suite 402 Lynwood CA 90262-2643 | |
| (310) 605-0123 | |
| (310) 605-2678 |
| Full Name | Keith E. Harris M.d. Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3628 E Imperial Hwy, Lynwood, California |
| Authorized Official Name and Position | Keith E Harris (OWNER) |
| Authorized Official Contact | 3106050123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith E. Harris M.d. Inc. Po Box 2489 Downey CA 90242-0489 Ph: (310) 605-0123 | Keith E. Harris M.d. Inc. 3628 E Imperial Hwy Suite 402 Lynwood CA 90262-2643 Ph: (310) 605-0123 |
| NPI Number | 1730307091 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730307091 | NPI | - | NPPES |
| 00G426220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G42622 (California) | Primary |
Jwch Institute, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3590 E Imperial Hwy, Lynwood, CA 90262 Phone: 323-201-4516 | |
Christylcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 Martin Luther King Jr Blvd, Suite 108, Lynwood, CA 90262 Phone: 310-537-2588 Fax: 310-537-9456 | |
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