Individual
ROMAN KHAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10284 CORTE FINA LN, BELLFLOWER, CA 90706-1071
(562) 310-9747
Mailing address
10284 CORTE FINA LN, BELLFLOWER, CA 90706-1071
(562) 310-9747
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
490311
CA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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