Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A26127 | CA |
NPI | 1013945328 |
---|---|
Provider Name | Dr. Paul Howard Key |
First Address | Encino, CA 91416-5128 |
Second Address | Culver City, CA 90232-2732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 07/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A261270 | (05) | CA |
A24741 | (02) | CA |