Individual
KHALID RABIA HASSAN AL SHAMOUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FRCPC
Contact information
Practice address
8730 ALDEN DR, LOS ANGELES, CA 90048
(310) 423-8056
Mailing address
412 S WILLAMAN DR APT 208, LOS ANGELES, CA 90048-3930
(424) 249-2018
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
164313
CA
Other
Enumeration date
08/09/2019
Last updated
01/29/2020
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