Khawam, Marjorie J

Khawam, Marjorie J is an sole proprietor health care provider with primary practice located at 3816 Woodruff Ave Ste 302, Long Beach CA 90808-2146. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Khawam, Marjorie J can be contacted via phone (562) 429-5300.

Contact Information

Primary practice address
3816 Woodruff Ave Ste 302 Long Beach CA 90808-2146
Phone: (562) 429-5300
Fax: (562) 429-0535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4286 California

Profile Details

NPI number 1033266390
LBN Legal business name Khawam, Marjorie J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Apr 9th, 2009 - about 15 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 1033266390 NPPES
California MEDICAID 000E42860
California Other 480034704

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