Organization
ADEL GHATTAS FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL SHAFIK GHATTAS MD (PRESIDENT)
(213) 989-0700
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, SUITE 3661, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Mailing address
1711 W TEMPLE ST, SUITE 3661, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A32665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32665
MEDICAL LICENSE
CA
Enumeration date
06/13/2012
Last updated
06/13/2012
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