| Danny Lee Keiller, MD | |
|
4033 3rd Ave, Suite 400, San Diego, CA 92103-2117 | |
| (619) 299-0670 | |
| (858) 429-7929 |
| Full Name | Danny Lee Keiller |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 4033 3rd Ave, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346356961 | NPI | - | NPPES |
| 00C320920 | Medicaid | CA | |
| GR0043510 | Other | CA | MEDICAID GROUP PROVIDER |
| WC32092G | Other | CA | PPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | C32092 (California) | Primary |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Genesis Healthcare Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548567498 PECOS PAC ID: 2163606807 Enrollment ID: O20110405000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Danny Lee Keiller, MD Po Box 33865, San Diego, CA 92163-3865 Ph: (858) 888-7700 | Danny Lee Keiller, MD 4033 3rd Ave, Suite 400, San Diego, CA 92103-2117 Ph: (619) 299-0670 |
Dr. Paul Charles Campbell, D.O. Urology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7200 | |
Dr. Ithaar Derweesh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. John J Martin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4060 4th Ave, Suite 310, San Diego, CA 92103 Phone: 619-297-4707 Fax: 619-297-2448 | |
Mr. Youngkyu Peter Sheen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5138 Sea Mist Court, San Diego, CA 92121 Phone: 858-642-0536 Fax: 858-642-0536 | |
Dr. Philip Hyunwoo Kim, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4405 Vandever Ave, Urologic Surgery, San Diego, CA 92120 Phone: 619-528-5000 | |
Anh Thuy Nguyen, MD Urology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Habib Anwar Md, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5555 Reservoir Drive, Suite 206, San Diego, CA 92120 Phone: 619-265-0911 Fax: 619-265-0913 |