Individual
DR. MOHAMED KHALED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSD
Contact information
Practice address
140 N A ST, OXNARD, CA 93030-5315
(818) 312-4530
Mailing address
26500 AGOURA RD, STE 102-468, CALABASAS, CA 91302-1952
(818) 312-4530
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2901020820
MI
1223P0300X
Periodontics
Primary
39369
TX
1223P0300X
Periodontics
63881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXX
XXX
—
Enumeration date
12/12/2012
Last updated
12/30/2024
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