Provider Demographics
NPI:1831199058
Name:EL-HAJJAOUI, ZOHEIR RACHED (MD)
Entity type:Individual
Prefix:
First Name:ZOHEIR
Middle Name:RACHED
Last Name:EL-HAJJAOUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17095 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-6004
Mailing Address - Country:US
Mailing Address - Phone:760-241-6666
Mailing Address - Fax:760-951-1609
Practice Address - Street 1:12550 HESPERIA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5873
Practice Address - Country:US
Practice Address - Phone:760-241-6666
Practice Address - Fax:760-951-1609
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53356207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACE7126Medicare PIN
CAAU514YMedicare PIN
CAF45797Medicare UPIN
CA00A533560Medicare PIN