Individual
ANDRE ELIAS KHAWAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1770 N ORANGE GROVE AVE STE 101, POMONA, CA 91767-3027
(909) 469-9494
(909) 469-2120
Mailing address
638 S PATHFINDER TRL, ANAHEIM, CA 92807-4778
(714) 331-4866
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PTL3588
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
05/08/2024
Last updated
02/19/2026
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