Khafaja, Issam N
Khafaja, Issam N is an individual health care provider with primary practice located at 777 Flower St Ste A, Glendale CA 91201-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khafaja, Issam N can be contacted via phone (818) 552-6230.Contact Information
Primary practice address
777 Flower St Ste A
Glendale CA 91201-3000
Phone: (818) 552-6230
Fax: (818) 888-7018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A54280 | California |
Profile Details
| NPI number | 1528062874 |
|---|---|
| LBN Legal business name | Khafaja, Issam N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Nov 5th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528062874 | NPPES |
| California | MEDICAID | 00A542800 |
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