Provider Demographics
NPI:1417192147
Name:JAMAAL D. EL-KHAL, M.D., INC.
Entity Type:Organization
Organization Name:JAMAAL D. EL-KHAL, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMAAL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:EL-KHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-739-5959
Mailing Address - Street 1:8132 FIRESTONE BLVD
Mailing Address - Street 2:SUITE#856
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4231
Mailing Address - Country:US
Mailing Address - Phone:714-739-5959
Mailing Address - Fax:714-739-5974
Practice Address - Street 1:8132 FIRESTONE BLVD
Practice Address - Street 2:SUITE#856
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4231
Practice Address - Country:US
Practice Address - Phone:714-739-5959
Practice Address - Fax:714-739-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102035208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty