Yablonicky, Keith Joseph

Yablonicky, Keith Joseph is an individual health care provider with primary practice located at 1200 N State St Emergency Department, Los Angeles CA 90033-1029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Yablonicky, Keith Joseph can be contacted via phone (323) 226-6937.

Contact Information

Primary practice address
1200 N State St Emergency Department Los Angeles CA 90033-1029
Fax: (323) 226-6454
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A81617 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A81617 California

Profile Details

NPI number 1861487969
LBN Legal business name Yablonicky, Keith Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 8th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861487969 NPPES
California MEDICAID 1861487969

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