| Keith Ebilane, M.d., Inc. | |
|
13429 Hawthorne Blvd Hawthorne CA 90250-5803 | |
| (310) 644-8683 | |
| (310) 644-0132 |
| Full Name | Keith Ebilane, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13429 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Keith Ebilane (PHYSICIAN) |
| Authorized Official Contact | 3106448683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Ebilane, M.d., Inc. 13429 Hawthorne Blvd Hawthorne CA 90250-5803 Ph: () - | Keith Ebilane, M.d., Inc. 13429 Hawthorne Blvd Hawthorne CA 90250-5803 Ph: (310) 644-8683 |
| NPI Number | 1003359555 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003359555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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