Organization
KHALDOUN S. SROUJIEH, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALDOUN S. SROUJIEH M.D. (PRESIDENT)
(323) 664-6535
Entity
Organization
Contact information
Practice address
1300 NORTH VERMONT AVENUE, SUITE 401, LOS ANGELES, CA 90027-6005
(323) 664-6535
(323) 664-2964
Mailing address
1300 NORTH VERMONT AVENUE, SUITE 401, LOS ANGELES, CA 90027-6005
(323) 664-6535
(323) 664-2964
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A335080
—
CA
Enumeration date
09/28/2006
Last updated
08/31/2022
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