MEDICARE: HISHAM ALKHATEEB D.D.S.

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	1223G0001X	General Practice Dentistry	41699	CA

General Provider Information

NPI Number	:	1417204918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HISHAM ALKHATEEB D.D.S.

Provider Business Mailing Address
First Line	:	267 E 17TH ST
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3831
Country	:	US
Telephone Number	:	949-646-2411
Fax Number	:	949-646-9141

Provider Business Practice Location Address
First Line	:	267 E 17TH ST
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3831
Country	:	US
Telephone Number	:	949-646-2411
Fax Number	:	949-646-9141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2012
Last Update Date	:	08/14/2012

Similar Medicare Providers

1144260449 — DR. CORY S SPURLOCK MD
Practice Location Address:

235 E 17TH ST
COSTA MESA, CA
92627-3831

Practice Phone: 949-688-2010
Practice Fax:

1437160868 — THRIFTY PAYLESS INC
Practice Location Address:

211 EAST 17TH STREET
COSTA MESA, CA
92627-3831

Practice Phone: 949-646-4960
Practice Fax:

1306971700 — JAMES HUNG NGUYEN RPH
Practice Location Address:

211 E 17TH ST
COSTA MESA, CA
92627-3831

Practice Phone: 949-646-4960
Practice Fax:

1316259021 — MINHPHUONG DINH
Practice Location Address:

211 E 17TH ST
COSTA MESA, CA
92627-3831

Practice Phone: 949-646-4960
Practice Fax: 949-646-0201

1316251093 — ANH TUYET NGUYEN PHARMD
Practice Location Address:

211 E 17TH ST
COSTA MESA, CA
92627-3831

Practice Phone: 949-646-4960
Practice Fax:

1154678647 — MAHA HETATA D.D.S.
Practice Location Address:

267 E 17TH ST
COSTA MESA, CA
92627-3831

Practice Phone: 949-646-2411
Practice Fax: 949-646-9141

Directions to “ HISHAM ALKHATEEB D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.