Organization
SHIFA REGENERATIVE CENTER AND PAIN MANAGEMENT
Active
Organization
SHIFA REGENERATIVE CENTER AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. AMJAD AL-KHAWALDEH PHD, CNS, NP (OWNER/CEO)
(714) 875-3755
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 24A, LAGUNA HILLS, CA 92653-4343
(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
06/01/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up