| Keith T. Chumley Advisors, M.d., Pc | |
|
23600 Telo Ave Ste 280 Torrance CA 90505-4037 | |
| (424) 250-9979 | |
| (424) 250-9981 |
| Full Name | Keith T. Chumley Advisors, M.d., Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 23600 Telo Ave Ste 280, Torrance, California |
| Authorized Official Name and Position | Keith T Chumley (OWNER) |
| Authorized Official Contact | 4242509979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith T. Chumley Advisors, M.d., Pc 23600 Telo Ave Ste 280 Torrance CA 90505-4037 Ph: (424) 250-9979 | Keith T. Chumley Advisors, M.d., Pc 23600 Telo Ave Ste 280 Torrance CA 90505-4037 Ph: (424) 250-9979 |
| NPI Number | 1194507632 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 8022452150 |
|---|---|
| Medicare Enrollment ID | O20240216002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194507632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Keith Chumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932126653 PECOS PAC ID: 4688717846 Enrollment ID: I20150909002261 |
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