Healthcare Provider Details

I. General information

NPI: 1659990604
Provider Name (Legal Business Name): DONA THERESE EL-KHOURY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36923 COOK ST STE 103
PALM DESERT CA
92211-6074
US

IV. Provider business mailing address

7525 ASHTON CT
WEST HILLS CA
91304-5262
US

V. Phone/Fax

Practice location:
  • Phone: 760-636-1336
  • Fax: 760-636-1335
Mailing address:
  • Phone: 818-271-7968
  • Fax: 818-227-4880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA182683
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: