Basic Information
Provider Information
NPI: 1831199058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL-HAJJAOUI
FirstName: ZOHEIR
MiddleName: RACHED
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17095 MAIN ST
Address2:  
City: HESPERIA
State: CA
PostalCode: 923456004
CountryCode: US
TelephoneNumber: 7602416666
FaxNumber: 7609511609
Practice Location
Address1: 12550 HESPERIA RD
Address2: SUITE 100
City: VICTORVILLE
State: CA
PostalCode: 923955873
CountryCode: US
TelephoneNumber: 7602416666
FaxNumber: 7609511609
Other Information
ProviderEnumerationDate: 07/29/2005
LastUpdateDate: 10/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA53356CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home