Organization Active NPI

Sherif Khattab MD Inc

  • Specialist
  • Torrance, CA
National Provider Identifier
1558438929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40879 Issued in CA
Legal business name
SHERIF KHATTAB MD INC
Practice address
2802 Pacific Coast Hwy
Torrance, CA 90505-6759
Phone
(310) 325-2100
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherif Khattab, M.D.
Title
Owner M,D,
Phone
(310) 325-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A40879 CA Primary

Addresses

Primary practice location

2802 Pacific Coast Hwy
Torrance, CA 90505-6759

Mailing address

2802 Pacific Coast Hwy
Torrance, CA 90505-6759
Phone (310) 325-2100

National Provider Directory

National Provider Directory

Locations

23365 Hawthorne Blvd
Ste 102
Torrance, CA 90505
Phone (310) 325-2100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558438929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056759",
            "telephone_number": "310-325-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056759",
            "telephone_number": "310-325-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF KHATTAB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER M,D,",
        "authorized_official_telephone_number": "310-325-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.