Khan, Maryalice Elizabeth

Khan, Maryalice Elizabeth is an individual health care provider with primary practice located at 151 Kalmus Dr Suite K-3, Costa Mesa CA 92626-5988. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Khan, Maryalice Elizabeth can be contacted via phone (714) 474-2918.

Contact Information

Primary practice address
151 Kalmus Dr Suite K-3 Costa Mesa CA 92626-5988
Phone: (714) 474-2918
Fax: (714) 242-9268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 430219 California
Nursing Service Providers / Community Health 163WC1500X 55185 California

Profile Details

NPI number 1639446289
LBN Legal business name Khan, Maryalice Elizabeth
Credentials RN PHN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 15 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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