Dr. Jennifer Newman Keagle
Surgeon Plastic and Reconstructive Surgery
2400 S Flower St Fourth Floor
Los Angeles
, California 90007
Dr. Jennifer Newman Keagle
Surgeon Plastic and Reconstructive Surgery
2400 S Flower St Fourth Floor
Los Angeles
, California 90007
(213) 250-1300
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Jennifer Newman Keagle
- 1245 Wilshire Blvd Ste 601
- Los Angeles, CA
- Zip : 90017-4806
- Phone : (213) 250-1300
Second Address
- Dr. Jennifer Newman Keagle
- 2400 S Flower St Fourth Floor
- Los Angeles, CA
- Zip : 90007
- Phone : (213) 742-1433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD00046842 | WA |
| N | 208600000X | Surgeon | MD00046842 | WA |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | A64773 | CA |
National Provider Identifier
| NPI | 1154434306 |
|---|---|
| Provider Name | Dr. Jennifer Newman Keagle |
| First Address | Los Angeles, CA 90017-4806 |
| Second Address | Los Angeles, CA 90007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 06/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A647730 | MEDICAL PPIN # (01) | CA |
| I33957 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.