Doctor Name: | MR. ARIF KHWAJA |
NPI Number: | 1003963489 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 125 W F St Ontario, CA - 917623262 |
Business Phone Number: | 9099864506 |
Business Fax Number: | 9099864506 |
Mailing Address: | 12240 179th St, ARTESIA |
State: | CA |
Postal Code: | 907014249 |
Phone Number: | 9099864506 |
Fax Number: | 9099864506 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |