| Moyeen Khaleeli M.d. Inc | |
|
4305 Torrance Blvd 409 Torrance CA 90503-4409 | |
| (310) 371-2110 | |
| (310) 371-6102 |
| Full Name | Moyeen Khaleeli M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4305 Torrance Blvd, Torrance, California |
| Authorized Official Name and Position | Moyeen Khaleeli (PRESIDENT) |
| Authorized Official Contact | 3103712110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moyeen Khaleeli M.d. Inc 4305 Torrance Blvd 409 Torrance CA 90503-4409 Ph: (310) 371-2110 | Moyeen Khaleeli M.d. Inc 4305 Torrance Blvd 409 Torrance CA 90503-4409 Ph: (310) 371-2110 |
| NPI Number | 1902122617 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 10/07/2014 |
| Medicare PECOS PAC ID | 8527198621 |
|---|---|
| Medicare Enrollment ID | O20100616000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902122617 | NPI | - | NPPES |
| 00A262660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A26266 (California) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | A26266 (California) | Primary |
| Provider Name | Moyeen Khaleeli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255490660 PECOS PAC ID: 7416087655 Enrollment ID: I20100614000751 |
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