MEDICARE: DR. TALEEN ALEXANDRIA KHALAF M.D.

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	207R00000X	Internal Medicine Physician	R4255	TX
2	208M00000X	Hospitalist Physician	R4255	TX

General Provider Information

NPI Number	:	1467870980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TALEEN ALEXANDRIA KHALAF M.D.

Provider Business Mailing Address
First Line	:	25925 BARTON RD UNIT 1311
Second Line	:
City	:	LOMA LINDA
State	:	CA
Zip	:	92354-5663
Country	:	US
Telephone Number	:	909-403-1704
Fax Number	:	909-206-0599

Provider Business Practice Location Address
First Line	:	18310 US HIGHWAY 18
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-2206
Country	:	US
Telephone Number	:	760-381-7703
Fax Number	:

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

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	01/21/2026

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