Keen Medical Group, Inc.

LBN: Keen Medical Group, Inc.
Keen Medical Group, Inc. is an health care organization with primary practice located at 12021 Jacaranda Ave , Hesperia CA 92345-4978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Keen Medical Group, Inc. can be contacted via phone (760) 956-5057, or through Braham, Arlene via phone (760) 956-5057.

Contact Information

Primary practice address
12021 Jacaranda Ave Hesperia CA 92345-4978
Phone: (760) 956-5057
Fax: (760) 948-2179
Website:
Map and Directions
Authorized official contact:
Name: Braham, Arlene Doctor of Medicine (MD)
Phone: (760) 956-5057

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G66379 California

Profile Details

NPI number 1053456962
LBN Legal business name Keen Medical Group, Inc.
DBA Doing business as
Authorized official Braham, Arlene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053456962 NPPES
California MEDICAID GR0092540
California Other ZZZ64052Z

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