Individual provider · Type 1 NPI

Amjad Al-Khawaldeh, PhD, CNS, NP

Nurse Practitioner · Laguna Hills, CA

NPI number 1477091445 Active

Practice location

24953 Paseo De Valencia Ste 24A
Laguna Hills, CA 92653-4343

Call (714) 875-3755 Map

Mailing address

2012 Fallen Leaf Pl
Tustin, CA 92780-6713

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95006131 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477091445

Amjad Al-Khawaldeh, PhD, CNS, NP's National Provider Identifier is 1477091445, issued on Feb 9, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Laguna Hills, CA. The record was last updated on Jun 1, 2026.