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NPI Code Detail

MEDICARE: GHAZAL KHAKY

MEDICARE:   GHAZAL  KHAKY
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
1163W00000XRegistered NurseRN95331817CA

General Provider Information

NPI Number : 1649101619
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHAZAL KHAKY
Provider Business Mailing Address
First Line : 22491 DEERBROOK
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92692-4534
Country : US
Telephone Number : 949-991-0857
Fax Number :
Provider Business Practice Location Address
First Line : 23547 MOULTON PKWY STE 208
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1975
Country : US
Telephone Number : 949-991-0857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ GHAZAL KHAKY ” Practice Location

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