Individual
BAKR KHALIFA AL OMRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, FAMILY MEDICINE CLINIC, MORENO VALLEY, CA 92555-3927
(951) 486-5593
(951) 486-5595
Mailing address
26520 CACTUS AVE, FAMILY MEDICINE DEPT, MORENO VALLEY, CA 92555-3927
(951) 486-5611
(951) 486-5620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A138506
CA
Other
Enumeration date
06/19/2013
Last updated
11/30/2021
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