Keith V. Rundle M.D., Inc.

LBN: Keith V. Rundle M.D., Inc.
Keith V. Rundle M.D., Inc. is an health care organization with primary practice located at 1031 W Chapman Ave Ste 203 , Orange CA 92868-2872. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Keith V. Rundle M.D., Inc. can be contacted via phone (714) 558-2822, or through Rundle, Keith Vincent via phone (714) 558-2822.

Contact Information

Primary practice address
1031 W Chapman Ave Ste 203 Orange CA 92868-2872
Phone: (714) 558-2822
Fax: (714) 835-3726
Website:
Map and Directions
Authorized official contact:
Name: Rundle, Keith Vincent Doctor of Medicine (MD)
Phone: (714) 558-2822

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G97929 California

Profile Details

NPI number 1962426304
LBN Legal business name Keith V. Rundle M.D., Inc.
DBA Doing business as
Authorized official Rundle, Keith Vincent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 29th, 2015 - about 9 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 1962426304 NPPES
California MEDICAID 00G797290

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