Individual
ATEF KHOUZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
361 HOSPITAL RD, 322, NEWPORT BEACH, CA 92663-3522
(949) 574-0777
(949) 650-3505
Mailing address
PO BOX 3579, NEWPORT BEACH, CA 92659-8579
(949) 574-0777
(949) 650-3505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110125134
MEDICARE RAILROAD
CA
Enumeration date
06/08/2006
Last updated
05/14/2008
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