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Organization
MOHAMMAD R. KHAYALI, MD A PROFESSIONAL CORPORATION
Active
Organization
MOHAMMAD R. KHAYALI, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD R KHAYALI MD (PRESIDENT)
(951) 652-6564
Entity
Organization
Contact information
Practice address
395 N SAN JACINTO ST, STE #A, HEMET, CA 92543-3109
(951) 652-6564
Mailing address
395 N SAN JACINTO ST, STE #A, HEMET, CA 92543-3109
(951) 652-6564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A299430
—
CA
01
—
A29943
LICENSE
CA
Enumeration date
03/26/2008
Last updated
03/26/2008
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