Khoury, Antoine E

Khoury, Antoine E is an individual health care provider with primary practice located at 505 S Main St Ste 100 , Orange CA 92868-4568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Khoury, Antoine E can be contacted via phone (714) 509-3919.

Contact Information

Primary practice address
505 S Main St Ste 100 Orange CA 92868-4568
Phone: (714) 509-3919
Fax: (714) 509-3917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X C53187 California

Profile Details

NPI number 1275704611
LBN Legal business name Khoury, Antoine E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Apr 29th, 2014 - about 11 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 1275704611 NPPES
California Other GR0085140 MEDICAID GRP
California Other W14887 MEDICAID GRP

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