Basic Information
| Provider Information | |||||||||
| NPI: | 1306173158 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KALEEL | ||||||||
| FirstName: | RANA | ||||||||
| MiddleName: | RUSHDI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2225 CURTIS AVE A | ||||||||
| Address2: | |||||||||
| City: | REDONDO BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107796910 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4444 TWEEDY BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH GATE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902807076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235642444 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 64049 | CA | Y | Dental Providers | Dentist | 1223G0001X | 8848 | NC | N | Dental Providers | Dentist | General Practice |
No ID Information.