KEITH ANDREW KAGAHASTIAN EBILANE

GARDENA, CA
NPI1225370679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A140101)
Enumeration Date2013-03-25
Last Update Date2020-12-29
Business Address
KEITH ANDREW KAGAHASTIAN EBILANE M.D.
1212 W REDONDO BEACH BLVD
GARDENA, CA 90247-3411
Phone number: 310-225-2825
Mailing Address
KEITH ANDREW KAGAHASTIAN EBILANE M.D.
1212 W REDONDO BEACH BLVD
GARDENA, CA 90247-3411
Phone number: 310-225-2825