Keith L Agre, Md, Medical Corporation

Specialty details in registry · Los Angeles, CA

Call (310) 276-2033 Directions

At a glance

1125 S Beverly Dr, Los Angeles, CA 90035-1148

NPPES record updated Dec 4, 2007. Public records can lag behind changes at a practice.

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Practice location

1125 S Beverly Dr Suite 110
Los Angeles, CA 90035-1148

Professional details: NPI, taxonomy & registry record

NPI1760664411

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM2500X
Enumeration date: Dec 4, 2007
Record updated: Dec 4, 2007

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM2500X · Primary

License reported: C24838 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1125 S Beverly Dr
Suite 110
Los Angeles, CA 90035-1148

Phone: (310) 276-2033
Fax: (310) 858-3857

Mailing address

1125 S BEVERLY DR
SUITE 110
LOS ANGELES, CA 900351148

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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