Ebilane, Keith Andrew Kagahastian

Ebilane, Keith Andrew Kagahastian is an individual health care provider with primary practice located at 1212 W Redondo Beach Blvd , Gardena CA 90247-3411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ebilane, Keith Andrew Kagahastian can be contacted via phone (310) 225-2825.

Contact Information

Primary practice address
1212 W Redondo Beach Blvd Gardena CA 90247-3411
Phone: (310) 225-2825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A140101 California

Profile Details

NPI number 1225370679
LBN Legal business name Ebilane, Keith Andrew Kagahastian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Dec 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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