Individual
DR. NIDAL KHAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1246 W 155TH ST, GARDENA, CA 90247-4011
(310) 768-2256
(310) 323-0914
Mailing address
955 DEEP VALLEY DR, # 4055, PALOS VERDES PENINSULA, CA 90274-3876
(310) 538-1110
(310) 538-0929
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4807
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL1636
CA
Other
Enumeration date
06/17/2008
Last updated
10/21/2021
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