| NPI | 1881995199 |
|---|---|
| Former Legal Business Name | CHARLES E KELLER, M.D. |
| Entity Type | Organization |
| Authorized Contact | CHARLES KELLER President 714-633-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2014-11-18 |