Jason Y Khamly, M.d. INC

NPI #1700168382 in Anaheim, California

Provider Information

NPI Number: 1700168382
Entity Type: Organization
Organization Name: Jason Y Khamly, M.d. INC
Primary Specialty: Pediatrics
Enumeration Date: Sep 9, 2011
Last Updated: Sep 9, 2011

Practice Location

Address: 1314 S EUCLID STREET
Address 2: SUITE 104
City: Anaheim
State: California
ZIP Code: 92802-2079
Phone: (714) 533-7357

Authorized Official

Name: JASON YOUN-ECK KHAMLY, M.D.
Title: PRESIDENT
Phone: (714) 533-7357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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