Rundle, Keith Vincent
Rundle, Keith Vincent is an sole proprietor health care provider with primary practice located at 1031 W Chapman Ave Suite 203, Orange CA 92868-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rundle, Keith Vincent can be contacted via phone (714) 558-2822.Contact Information
Primary practice address
1031 W Chapman Ave Suite 203
Orange CA 92868-2872
Phone: (714) 558-2822
Fax: (714) 835-3726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G97929 | California |
Profile Details
| NPI number | 1245267285 |
|---|---|
| LBN Legal business name | Rundle, Keith Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jan 29th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245267285 | NPPES |
| California | MEDICAID | 00G797290 |
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