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DR. HUSAM S. KAILEH M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1700920899
Individual Registrant:DR. HUSAM S. KAILEH M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
21890 W. COLORADO AVENUE SAN JOAQUIN, CA 93660 US
Tel: 559-693-2462 Fax: 559-693-4382
Tel: 559-693-2462 Fax: 559-693-4382
Contact information for business:
PO BOX 737 SAN JOAQUIN, CA 93660-0737 US
Tel: 559-693-2462 Fax: 559-693-4382
Tel: 559-693-2462 Fax: 559-693-4382
Registration Information:
NPI: 1700920899
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A52444 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FHC03875F | CA | 05 |
