Keith R Burnett, M.D.
Radiology, Diagnostic Radiology in Long Beach, CA. Individual provider (NPI-1).
NPI number1326009200
StatusActive
Last updated in NPPESSep 25, 2015
Details
- NPI
- 1326009200
- Entity type
- Individual (NPI-1)
- Name
- Keith R Burnett
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2006
- Last updated
- Sep 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | G40959 | CA | Yes |
Practice location
4200 E PchLong Beach, CA 90804-2107
Phone 949-784-2303
Mailing address
Po Box 91689Long Beach, CA 90809-1689
Phone 949-784-2303
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