| Mr Keith William Mcgill, PHYSICIAN ASSISTANT | |
|
150 S Pico Ave, 14342 Bora Dr La Mirada 90638, Long Beach, CA 90802 | |
| (562) 432-2821 | |
| (562) 437-1353 |
| Full Name | Mr Keith William Mcgill |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 150 S Pico Ave, Long Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629169396 | NPI | - | NPPES |
| PA11313 | Other | CA | PHYSICIAN ASST. LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA 11313 (California) | Secondary |
| 207N00000X | Dermatology | PA11313 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith William Mcgill, PHYSICIAN ASSISTANT 150 S Pico Ave, 14342 Bora Drive La Mirada, Ca 90638, Long Beach, CA 90802-6247 Ph: (562) 432-2821 | Mr Keith William Mcgill, PHYSICIAN ASSISTANT 150 S Pico Ave, 14342 Bora Dr La Mirada 90638, Long Beach, CA 90802 Ph: (562) 432-2821 |