MEDICARE: ALMAS MASROOR KHAN

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	390200000X	Student in an Organized Health Care Education/Training Program		CA

General Provider Information

NPI Number	:	1417884008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMAS MASROOR KHAN

Provider Business Mailing Address
First Line	:	44578 COUNTRY CLUB DR
Second Line	:
City	:	EL MACERO
State	:	CA
Zip	:	95618-1046
Country	:	US
Telephone Number	:	530-304-8671
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 N CALIFORNIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-6019
Country	:	US
Telephone Number	:	209-943-2000
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ ALMAS MASROOR KHAN ” Practice Location

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