Individual
DIANA KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 N HARBOR BLVD, ANAHEIM, CA 92805-1810
(714) 774-7500
Mailing address
16171 TOMAS LN, HUNTINGTON BEACH, CA 92649-2432
(714) 417-5583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22744
CA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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