# MORRIS KOKHAB, M.D., A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1821271420
- **Authorized official:** PROF. MORRIS KOKHAB M.D. (PRESIDENT)
- **Authorized official phone:** (909) 932-1122

## Contact information

- **Practice address:** 974 W FOOTHILL BLVD, UPLAND, CA 91786-3728
- **Practice address phone:** (909) 932-1122
- **Practice address fax:** (909) 932-9292
- **Mailing address:** 974 W FOOTHILL BLVD, UPLAND, CA 91786-3728
- **Mailing address phone:** (909) 932-1122
- **Mailing address fax:** (909) 932-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A75850 | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | A75850 | CA | — |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 08/13/2015