Provider Demographics
NPI:1124258850
Name:PAUL H. KEY MD, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:PAUL H. KEY MD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-562-5943
Mailing Address - Street 1:5805 WHITE OAK AVE
Mailing Address - Street 2:#18601
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91416-5001
Mailing Address - Country:US
Mailing Address - Phone:310-562-5943
Mailing Address - Fax:818-988-3582
Practice Address - Street 1:5805 WHITE OAK AVE
Practice Address - Street 2:#18601
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91416-5001
Practice Address - Country:US
Practice Address - Phone:310-562-5943
Practice Address - Fax:818-988-3582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26127207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty