Individual
KHALID MAHMOUD ALDAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506-0107
(951) 686-4911
(951) 685-9409
Mailing address
4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506-0107
(951) 686-4911
(951) 685-9409
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A195247
CA
Other
Enumeration date
04/20/2020
Last updated
06/20/2024
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