Provider Demographics
NPI:1407870447
Name:ENGLISH, KEITH QUENTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:QUENTIN
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:451 W GONZALES RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-9004
Mailing Address - Country:US
Mailing Address - Phone:805-988-3355
Mailing Address - Fax:805-988-3360
Practice Address - Street 1:451 W GONZALES RD
Practice Address - Street 2:SUITE 240
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-9004
Practice Address - Country:US
Practice Address - Phone:805-988-3355
Practice Address - Fax:805-988-3360
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA45917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45917OtherMEDICAL LICENSE
3544418OtherECFMG
E58392Medicare UPIN