Organization
KAYALI CONSULTING AND MEDICAL MANAGEMENT INC
Active
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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