MEDICARE: ADAM M. KHALIL MD P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1346110921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM M. KHALIL MD P.C.

Provider Business Mailing Address
First Line	:	16051 BALLANTINE LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7305 PACIFIC BLVD
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5736
Country	:	US
Telephone Number	:	323-585-6900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM M KHALIL
Credential	:
Telephone Number	:	720-839-2853

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	12/18/2025

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