Organization
SHIFA REGENERATIVE CENTER AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMJAD AL-KHAWALDEH PHD, NP (OWNER/CEO)
(714) 875-3755
Entity
Organization
Contact information
Practice address
17150 EUCLID ST STE 207, FOUNTAIN VALLEY, CA 92708-4092
(714) 875-3755
(714) 875-3755
Mailing address
2012 FALLEN LEAF PL, TUSTIN, CA 92780-6713
(714) 875-3755
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
09/23/2025
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