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Organization
EMPIRE ENDOCRINOLOGY PC
Active
Organization
EMPIRE ENDOCRINOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALMOUTAZ B SHAKALLY MD (OWNER)
(909) 696-9626
Entity
Organization
Contact information
Practice address
802 MAGNOLIA AVE STE 200, CORONA, CA 92879-3144
(951) 444-7006
(909) 247-3340
Mailing address
802 MAGNOLIA AVE STE 200, CORONA, CA 92879-3144
(951) 444-7006
(909) 247-3340
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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