Individual
KHALDOUN S SROUJIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N VERMONT AVE, 401, LOS ANGELES, CA 90027-6005
(323) 664-6535
(323) 664-2964
Mailing address
1300 N VERMONT AVE, 401, LOS ANGELES, CA 90027-6005
(323) 664-6535
(323) 664-2964
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A33508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A335080
—
CA
01
—
WA33508A
MEDICARE PPIN
CA
Enumeration date
10/20/2006
Last updated
08/31/2022
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