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Organization

JASON Y KHAMLY, M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON YOUN-ECK KHAMLY M.D. (PRESIDENT)
(714) 533-7357
Entity
Organization

Contact information

Practice address
1314 S EUCLID STREET, SUITE 104, ANAHEIM, CA 92802-2079
(714) 533-7357
Mailing address
1314 S EUCLID STREET, SUITE 104, ANAHEIM, CA 92802-2079

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/09/2011
Last updated
09/09/2011
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