MEDICARE: NAGY F. KHALIL

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	208000000X	Pediatrics Physician	A56258	CA
2	207Q00000X	Family Medicine Physician	A56258	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1437350980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAGY F. KHALIL

Provider Business Mailing Address
First Line	:	PO BOX 1529
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-0529
Country	:	US
Telephone Number	:	714-522-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1557 E FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-2551
Country	:	US
Telephone Number	:	714-522-2001
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAGY KHALIL
Credential	:
Telephone Number	:	714-522-2001

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	09/11/2025

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Directions to “NAGY F. KHALIL ” Practice Location

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