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Organization
RIZKALLA, INC.
Active
Organization
RIZKALLA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFWAT RIZKALLA (PRESIDENT)
(714) 293-4971
Entity
Organization
Contact information
Practice address
17161 GOLDENWEST ST STE C, HUNTINGTON BEACH, CA 92647-5480
(714) 373-1400
Mailing address
27040 MAIDEN MOOR LN, YORBA LINDA, CA 92887-4226
(714) 293-4971
(714) 692-0477
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101670
—
CA
01
—
ZZZ65316Z
BLUE SHIELD
CA
Enumeration date
07/12/2006
Last updated
10/11/2022
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