Khalifeh, Mohammad

Khalifeh, Mohammad is an individual health care provider with primary practice located at 5757 Wilshire Blvd., Suite # 5, Los Angeles CA 90036. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Khalifeh, Mohammad can be contacted via phone (323) 933-3855.

Contact Information

Primary practice address
5757 Wilshire Blvd., Suite # 5 Los Angeles CA 90036
Phone: (323) 933-3855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 40631 California
Dental Providers / Dentist 122300000X 40631 California

Profile Details

NPI number 1417045931
LBN Legal business name Khalifeh, Mohammad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jun 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417045931 NPPES
Other 47-0910768 TAXPAYER IDENTIFYING NUMB

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