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General NPI Number Information
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NPI Number | 1538511191
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Entity Type | Organization
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Legal Business Name | DAREEN KHALAF MD INC
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 1445 N LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90028-7505
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Country | US
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Telephone | 310-926-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 NORTH LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90028
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Country | US
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Telephone | 310-926-1022
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DAREEN KHALAF
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Credential | MD
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Telephone | 310-926-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | A122011
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License Number State | CA
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