# KHALID B. KHAN M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750327235
- **Authorized official:** DR. KHALID B KHAN M.D. (OWNER)
- **Authorized official phone:** (310) 679-2201

## Contact information

- **Practice address:** 13425 INGLEWOOD AVE, HAWTHORNE, CA 90250-5608
- **Practice address phone:** (310) 679-2201
- **Practice address fax:** (310) 679-4236
- **Mailing address:** 13425 INGLEWOOD AVE, HAWTHORNE, CA 90250-5608
- **Mailing address phone:** (310) 679-2201
- **Mailing address fax:** (310) 679-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A62486 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 12/14/2012