Provider Demographics
NPI:1962575332
Name:KEYS, STEVEN ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ADAM
Last Name:KEYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:23461 S POINTE DR
Mailing Address - Street 2:SUITE #375
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1547
Mailing Address - Country:US
Mailing Address - Phone:949-581-9555
Mailing Address - Fax:949-581-9559
Practice Address - Street 1:23461 S POINTE DR
Practice Address - Street 2:SUITE #375
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1547
Practice Address - Country:US
Practice Address - Phone:949-581-9555
Practice Address - Fax:949-581-9559
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG706162084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF70825Medicare UPIN
CAG70616Medicare ID - Type Unspecified