Organization
MOYEEN KHALEELI M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOYEEN KHALEELI M.D. (PRESIDENT)
(310) 371-2110
Entity
Organization
Contact information
Practice address
4305 TORRANCE BLVD, 409, TORRANCE, CA 90503-4409
(310) 371-2110
(310) 371-6102
Mailing address
4305 TORRANCE BLVD, 409, TORRANCE, CA 90503-4409
(310) 371-2110
(310) 371-6102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A26266
CA
207RH0003X
Hematology & Oncology Physician
Primary
A26266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A262660
—
CA
Enumeration date
04/20/2010
Last updated
10/07/2014
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