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Search › California › 207RE0101X

Almoutaz Shakally, M.D

NPI 1861632168 · on the registry since 2009

Practice

Address
399 E Highland Ave Ste 227
San Bernardino, CA 92404
Phone
(612) 616-3963
Organisation at this address
Pro Office Inc
John R Evans Md
Chang Lee Md Inc
Oasis Health Clinic
Apex Pediatrics Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Additional practice sites

  • 3850 Park Nicollet Blvd, St Louis Park, MN
  • 5450 Jefferson Ave Ste 2, Chino, CA

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Also registered as
207R00000X
207R00000X
207R00000X
390200000X
Licence states on file
MN, IA, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California