KEITH L AGRE, MD, MEDICAL CORPORATION
NPI 1760664411
Clinic/Center - Medical Specialty in Los Angeles, CA

Active since December 04, 2007
1125 S BEVERLY DR, SUITE 110, LOS ANGELES, CA 90035(310) 276-2033(310) 858-3857 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keith L Agre, Md, Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH L AGRE, MD, MEDICAL CORPORATION (NPI 1760664411) is a healthcare organization registered as a medical specialty in Los Angeles, California and active in the NPI registry since December 2007. The organization lists Keith L Agre, President, as its authorized official.

NPPES Registry Identity

NPI1760664411
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameKEITH L AGRE, MD, MEDICAL CORPORATION
Location Address1125 S BEVERLY DR, SUITE 110Los Angeles, CA 90035-1148
Mailing Address1125 S Beverly Dr, Suite 110Los Angeles, CA 90035-1148 · (310) 276-2033 · Fax (310) 858-3857
Fax(310) 858-3857
Organization SubpartNo
Authorized OfficialKeith L AgrePresident · (310) 276-2033
Enumeration DateDecember 4, 2007
NPI 1760664411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in CA · C24838
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1125 S BEVERLY DR, Los Angeles, CA 90035

Other Identifiers 1

Medicare UPINA32732CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1125 S BEVERLY DR, SUITE 400
LOS ANGELES, CA 90035
Dentist (General Practice)
1125 S BEVERLY DR, SUITE 750
LOS ANGELES, CA 90035
Internal Medicine
1125 S BEVERLY DR, SUITE 603
LOS ANGELES, CA 90035
Podiatrist (Foot & Ankle Surgery)
1125 S BEVERLY DR, SUITE 525
LOS ANGELES, CA 90035
Surgery
1125 S BEVERLY DR, SUTIE 500
LOS ANGELES, CA 90035
Acupuncturist
1125 S BEVERLY DR, SUITE 610
LOS ANGELES, CA 90035
Allergy & Immunology
1125 S BEVERLY DR, SUITE 740
LOS ANGELES, CA 90035
Clinic/Center (Ambulatory Surgical)
1125 S BEVERLY DR, SUITE 505
LOS ANGELES, CA 90035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith L Agre, MD, Medical Corporation's NPI number?

The NPI number for Keith L Agre, MD, Medical Corporation is 1760664411. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Keith L Agre, MD, Medical Corporation located?

Keith L Agre, MD, Medical Corporation is located at 1125 S Beverly Dr Suite 110, Los Angeles, CA 90035. The listed phone number is (310) 276-2033.

What is Keith L Agre, MD, Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Keith L Agre, MD, Medical Corporation was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.