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NPI Code Detail

MEDICARE: DR. AFRAM S KALLAH MD

MEDICARE:  DR. AFRAM S KALLAH  MD
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
1207Q00000XFamily Medicine PhysicianA69375CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376586644
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AFRAM S KALLAH MD
Provider Business Mailing Address
First Line : PO BOX 1071
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-1071
Country : US
Telephone Number : 714-647-4170
Fax Number : 888-959-3949
Provider Business Practice Location Address
First Line : 550 N FLOWER ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92703-2361
Country : US
Telephone Number : 714-647-4170
Fax Number : 888-959-3949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 04/18/2014

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Directions to “ DR. AFRAM S KALLAH MD” Practice Location

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