| Khaldoun A Debian Md A Medical Corporation | |
|
17400 Irvine Blvd Ste F Tustin CA 92780-3030 | |
| (147) 937-9400 | |
| (714) 937-9404 |
| Full Name | Khaldoun A Debian Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 17400 Irvine Blvd Ste F, Tustin, California |
| Authorized Official Name and Position | Khaldoun A Debian (MD) |
| Authorized Official Contact | 7149379400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khaldoun A Debian Md A Medical Corporation 17400 Irvine Blvd Ste F Tustin CA 92780-3030 Ph: (714) 937-9400 | Khaldoun A Debian Md A Medical Corporation 17400 Irvine Blvd Ste F Tustin CA 92780-3030 Ph: (147) 937-9400 |
| NPI Number | 1477645380 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/04/2022 |
| Medicare PECOS PAC ID | 2466454970 |
|---|---|
| Medicare Enrollment ID | O20070213000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477645380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A63521 (California) | Primary |
| Provider Name | Khaldoun A Debian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932168796 PECOS PAC ID: 6103722830 Enrollment ID: I20031211000831 |
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