Organization
KAYALI CONSULTING AND MEDICAL MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEID KAYALI MD (PRESIDENT)
(909) 517-3501
Entity
Organization
Contact information
Practice address
2006 N RIVERSIDE AVE, STE A, RIALTO, CA 92377-4696
(909) 883-2999
Mailing address
2006 W RIVERSIDE AVE, STE A, RIALTO, CA 92377
(909) 883-2999
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A71164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB249824
MEDICARE PTAN
CA
Enumeration date
10/12/2015
Last updated
03/16/2016
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