Individual
DR. MARJORIE J KHAWAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3816 WOODRUFF AVE, STE 302, LONG BEACH, CA 90808-2146
(562) 429-5300
(562) 429-0535
Mailing address
3816 WOODRUFF AVE, STE 302, LONG BEACH, CA 90808-2146
(562) 429-5300
(562) 429-0535
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42860
—
CA
01
—
480034704
RAILROAD MEDICARE
CA
Enumeration date
01/05/2007
Last updated
04/09/2009
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