Healthcare Provider Details

I. General information

NPI: 1023955762
Provider Name (Legal Business Name): ADAM M. KHALIL MD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 PACIFIC BLVD
HUNTINGTON PARK CA
90255-5736
US

IV. Provider business mailing address

16051 BALLANTINE LN
HUNTINGTON BEACH CA
92647-3201
US

V. Phone/Fax

Practice location:
  • Phone: 720-839-2853
  • Fax:
Mailing address:
  • Phone: 720-839-2853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM M KHALIL
Title or Position: OWNER
Credential: MD
Phone: 720-839-2853