MR. KEITH MCGILL, PHYSICIAN ASSISTANT

Dermatology

Active Individual

NPI: 1629169396

Practice Address

150 S PICO AVE
14342 BORA DR LA MIRADA 90638
Long Beach, CA 90802

Specialties

Specialty	Code	Primary	License
Dermatology	207N00000X	Yes	PA11313 (CA)
Physician Assistant - Medical	363AM0700X	No	PA 11313 (CA)

Frequently Asked Questions

NPI 1629169396 is the National Provider Identifier for MR. KEITH MCGILL, PHYSICIAN ASSISTANT, a Dermatology provider located in Long Beach, CA. This NPI was enumerated on September 27, 2006.

MR. KEITH MCGILL, PHYSICIAN ASSISTANT practices at 150 S PICO AVE, 14342 BORA DR LA MIRADA 90638, Long Beach, CA 90802.

Quick Facts

NPI: 1629169396
Type: Individual
Enumerated: Sep 27, 2006
Last Updated: May 7, 2008

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