Individual provider · Type 1 NPI
Medya Khamis, NP
Family Nurse Practitioner · San Diego, CA
NPI number
1639067598
Active
Practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Fax (619) 795-5992
Mailing address
380 N Mollison Ave Apt 213
El Cajon, CA 92021-6800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95033939 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639067598
Medya Khamis, NP's National Provider Identifier is 1639067598, issued on Jun 27, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jun 27, 2025.