Organization Name: | JAMAAL D. EL-KHAL, M.D., INC. |
NPI Number: | 1417192147 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMAAL DAVID EL-KHAL (PRESIDENT) |
Mailing Address: | 8132 Firestone Blvd Suite#856 Downey |
State: | CA US |
Postal Code: | 902414231 |
Phone Number: | 7147395959 |
Fax Number: | 7147395974 |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 12/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A102035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |