Organization
EMAD KHALEELI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD KHALEELI M.D. (PRESIDENT)
(310) 793-4327
Entity
Organization
Contact information
Practice address
4305 TORRANCE BLVD, SUITE #301, TORRANCE, CA 90503-4409
(310) 793-4327
(310) 793-4307
Mailing address
6121 MONERO DR, RANCHO PALOS VERDES, CA 90275-3310
(310) 793-4327
(310) 793-4307
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A68108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A68108
MEDICAL ID NUMBER
CA
01
—
05D1013667
CLIA
CA
Enumeration date
03/19/2007
Last updated
03/03/2014
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