Organization
MED-PED I D INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAWKI HARFOUCH MD (EMPLOYEE)
(951) 679-5811
Entity
Organization
Contact information
Practice address
28078 BAXTER RD, SUITE 320, MURRIETA, CA 92563-1402
(951) 679-5811
(951) 679-5844
Mailing address
28078 BAXTER RD STE 320, MURRIETA, CA 92563-1404
(951) 679-5811
(951) 679-5844
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A60874
CA
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
09/25/2006
Last updated
09/13/2023
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