Individual
BASIMAH KHULUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 W 5TH ST, #321, SAN PEDRO, CA 90731-3388
(913) 208-6684
Mailing address
255 W 5TH ST, SUITE 321, SAN PEDRO, CA 90731-3388
(913) 208-6684
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A4362
CA
Other
Enumeration date
11/20/2006
Last updated
03/07/2023
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