Organization
KHALIFA MANSOUR, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIFA MANSOUR M.D. (PRESIDENT)
(562) 862-1134
Entity
Organization
Contact information
Practice address
8043 2ND ST, #105, DOWNEY, CA 90241-3621
(562) 862-1134
(562) 861-9895
Mailing address
8043 2ND ST, #105, DOWNEY, CA 90241-3621
(562) 862-1134
(562) 861-9895
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A47873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A478730
—
CA
Enumeration date
02/06/2007
Last updated
06/09/2014
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