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NPI Code Detail

MEDICARE: JAMAAL D. EL-KHAL, M.D., INC.

MEDICARE: JAMAAL D. EL-KHAL, M.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianA102035CA

General Provider Information

NPI Number : 1417192147
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMAAL D. EL-KHAL, M.D., INC.
Provider Business Mailing Address
First Line : 8132 FIRESTONE BLVD
Second Line : SUITE#856
City : DOWNEY
State : CA
Zip : 90241-4231
Country : US
Telephone Number : 714-739-5959
Fax Number : 714-739-5974
Provider Business Practice Location Address
First Line : 8132 FIRESTONE BLVD
Second Line : SUITE#856
City : DOWNEY
State : CA
Zip : 90241-4231
Country : US
Telephone Number : 714-739-5959
Fax Number : 714-739-5974
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMAAL DAVID EL-KHAL
Credential : M.D.
Telephone Number : 714-739-5959
Provider Enumeration Date : 12/09/2008
Last Update Date : 12/09/2008

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