Healthcare Provider Details

I. General information

NPI: 1043487762
Provider Name (Legal Business Name): KHALED EL SAID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: KHALED EL SAID MD

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11882 DE PALMA RD STE 2F-1
CORONA CA
92883-4008
US

IV. Provider business mailing address

11882 DE PALMA RD STE 2F-1
CORONA CA
92883-4008
US

V. Phone/Fax

Practice location:
  • Phone: 951-603-3335
  • Fax: 909-799-2008
Mailing address:
  • Phone: 951-603-3335
  • Fax: 909-799-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA103426
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: