Khaled, Mohamed

Khaled, Mohamed is an individual health care provider with primary practice located at 140 N A St , Oxnard CA 93030-5315. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Khaled, Mohamed can be contacted via phone (818) 312-4530.

Contact Information

Primary practice address
140 N A St Oxnard CA 93030-5315
Phone: (818) 312-4530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2901020820 Michigan
Dental Providers / Periodontics 1223P0300X 63881 California

Profile Details

NPI number 1174869515
LBN Legal business name Khaled, Mohamed
Credentials MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Jan 24th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174869515 NPPES
Other XXXXX XXX

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