OrganizationActive
Keen Medical Group Inc
NPI 1174901334 · Occupational Health Nurse Practitioner · Hesperia, CA
Provider details
- NPI number
- 1174901334
- Entity type
- Organization
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Arlene Braham, President(760) 956-5057
- License
- G066379 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12021 Jacaranda Ave
Suite # 101
Hesperia, CA 92345-4978
Phone: (760) 956-5057
Fax: (760) 948-2179
Approximate (ZIP-level) locationGet directions
Mailing address
12021 Jacaranda Ave
Hesperia, CA 92345-4978
Registry dates
- Enumerated
- 2015-05-08
- Last updated
- 2015-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.