Provider Demographics
NPI:1801916499
Name:KEY, RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:KEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1516 COTNER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3303
Mailing Address - Country:US
Mailing Address - Phone:310-445-2951
Mailing Address - Fax:310-479-1459
Practice Address - Street 1:8227 RESEDA BOULEVARD
Practice Address - Street 2:NORTHRIDGE DIAGNOSTIC CENTER
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91335-0000
Practice Address - Country:US
Practice Address - Phone:818-773-6500
Practice Address - Fax:818-701-5936
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG37219207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine