Provider Demographics
NPI:1386923019
Name:KHALED M. EL-SAID MD,INC
Entity type:Organization
Organization Name:KHALED M. EL-SAID MD,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:EL SAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-603-3335
Mailing Address - Street 1:11882 DE PALMA RD STE 2F-1
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4008
Mailing Address - Country:US
Mailing Address - Phone:951-603-3335
Mailing Address - Fax:909-799-2008
Practice Address - Street 1:11882 DE PALMA RD STE 2F-1
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4008
Practice Address - Country:US
Practice Address - Phone:951-603-3335
Practice Address - Fax:909-799-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05439261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center