Provider Demographics
NPI:1275533168
Name:KEATING, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:KEATING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:903 E DEVONSHIRE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-3097
Mailing Address - Country:US
Mailing Address - Phone:951-766-8403
Mailing Address - Fax:951-766-8649
Practice Address - Street 1:903 E DEVONSHIRE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-3097
Practice Address - Country:US
Practice Address - Phone:951-766-8403
Practice Address - Fax:951-766-8649
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC51527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine