Khalifa Mansour, Md, A Medical Corporation | |
8043 2nd St #105 Downey CA 90241-3621 | |
(562) 862-1134 | |
(562) 861-9895 |
Full Name | Khalifa Mansour, Md, A Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 8043 2nd St, Downey, California |
Authorized Official Name and Position | Khalifa Mansour (PRESIDENT) |
Authorized Official Contact | 5628621134 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Khalifa Mansour, Md, A Medical Corporation 8043 2nd St #105 Downey CA 90241-3621 Ph: (562) 862-1134 | Khalifa Mansour, Md, A Medical Corporation 8043 2nd St #105 Downey CA 90241-3621 Ph: (562) 862-1134 |
NPI Number | 1225177074 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 06/09/2014 |
Medicare PECOS PAC ID | 1456420678 |
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Medicare Enrollment ID | O20080514000386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225177074 | NPI | - | NPPES |
00A478730 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A47873 (California) | Primary |
Provider Name | Khalifa H Mansour |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1538166418 PECOS PAC ID: 3173530631 Enrollment ID: I20060308000890 |
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