Individual
KHALID MOHAMED ELTAWIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 SKYPARK DR, #200, TORRANCE, CA 90505-4749
(310) 378-8900
(310) 791-0786
Mailing address
3701 SKYPARK DR, #200, TORRANCE, CA 90505-4749
(310) 378-8900
(310) 791-0786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201645
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
201645
CA
207RP1001X
Pulmonary Disease Physician
Primary
201645
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A66752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396724399
CCS PANELED
CA
05
—
1396724399
—
CA
Enumeration date
01/10/2006
Last updated
05/10/2013
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