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
Phone: (323) 226-6937
Fax: (323) 226-6454
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861487969 | NPPES |
California | MEDICAID | 1861487969 |
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