Provider Demographics
NPI:1306610720
Name:JAMES E KEANY, MD, APMC
Entity type:Organization
Organization Name:JAMES E KEANY, MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KEANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-633-3118
Mailing Address - Street 1:3913 CALLE REAL
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-2626
Mailing Address - Country:US
Mailing Address - Phone:949-633-3118
Mailing Address - Fax:
Practice Address - Street 1:3913 CALLE REAL
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-2626
Practice Address - Country:US
Practice Address - Phone:949-633-3118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty