Individual
OMER KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2841 LOMITA BLVD STE 215, TORRANCE, CA 90505-5111
(310) 379-2860
(310) 325-1144
Mailing address
3291 SKYPARK DR, TORRANCE, CA 90505-5004
(310) 325-4517
(310) 325-1144
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A112831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A112831
MEDICAL LICENSE
CA
Enumeration date
04/20/2011
Last updated
07/21/2022
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