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Organization
ALMOUTAZ BELLAH SHAKALLY MD, INC
Active
Organization
ALMOUTAZ BELLAH SHAKALLY MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMOUTAZ BELLAH SHAKALLY MD (OWNER)
(951) 444-7006
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
05/28/2020
Last updated
04/25/2024
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