Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A152785 | CA |
Y | 111NI0900X | Internist | A152785 | CA |
N | 207R00000X | Internist | Q6858 | TX |
N | 111NI0900X | Internist | Q6858 | TX |
NPI | 1003153214 |
---|---|
Provider Name | Dr. Ghassan Hani Nicola Khoury |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2013 |
Last Update Date | 22/06/2018 |