OrganizationActive
Keith L Agre, MD, Medical Corporation
NPI 1760664411 · Medical Specialty Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1760664411
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Agre, President(310) 276-2033
- License
- C24838 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1125 S Beverly Dr
Suite 110
Los Angeles, CA 90035-1148
Phone: (310) 276-2033
Fax: (310) 858-3857
Street-level locationGet directions
Mailing address
1125 S Beverly Dr
Los Angeles, CA 90035-1148
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2007-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.