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Individual

KHALIFA MANSOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8043 2ND ST, STE 105, DOWNEY, CA 90241-3621
(562) 862-1134
(562) 861-9895
Mailing address
8043 2ND ST, STE 105, DOWNEY, CA 90241-3621
(562) 862-1134
(562) 861-9895

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A47873
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A478730
CA
Enumeration date
07/07/2005
Last updated
06/09/2014
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