Most Relevant Information
Provider Data
| NPI Number: | 1003011792 |
| Provider Name: | ALAN KEOGH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2120 W 8TH ST
SUITE 210
LOS ANGELES
CA
900574019
Practice Location Phone/Fax
| Phone: | 2133681888 |
| Fax: | 2133686888 |
Provider Mailing Location
2120 W 8TH ST
SUITE 210
LOS ANGELES
CA
900574019
Provider Mailing Phone/Fax
| Phone: | 2133681888 |
| Fax: | 2133686888 |