Individual provider · Type 1 NPI

Khaled Ibrahim Moh'd Al Smadi

Student in an Organized Health Care Education/Training Program · San Bernardino, CA

NPI number 1891431334 Active · reactivated Jan 24, 2023

Practice location

2101 N. Waterman Avenue
San Bernardino, CA 92404

Call (909) 644-5892 Map

Mailing address

6155 Palm Ave Apartment 1409
San Bernardino, CA 92407

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891431334

Khaled Ibrahim Moh'd Al Smadi's National Provider Identifier is 1891431334, issued on May 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 25, 2023.