Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101234685 | VA |
N | 111NI0900X | Internist | 0101234685 | VA |
Y | 207RG0100X | Gastroenterologist | C54900 | CA |
NPI | 1013988922 |
---|---|
Provider Name | Dr. Darren Bond Keller |
First Address | San Diego, CA 92123-2762 |
Second Address | San Diego, CA 92123-2762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 19/06/2013 |