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Individual

GEORGE KHOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Mailing address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A44041
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A440410
BLUE SHIELD
CA
05
00A440410
CA
01
P00408802
RAILROAD MCR - STOCKTON
CA
Enumeration date
07/17/2006
Last updated
02/10/2014
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