Healthcare Provider Details

I. General information

NPI: 1386923019
Provider Name (Legal Business Name): KHALED M. EL-SAID MD,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
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 Code261Q00000X
TaxonomyClinic/Center
License Number05439
License Number StateCA

VIII. Authorized Official

Name: DR. KHALED EL SAID
Title or Position: MD/OWNER
Credential: MD
Phone: 951-603-3335