Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Elias Khawam, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467200154

Andre Elias Khawam, DO is a Student in an Organized Health Care Education/Training Program in Pomona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone: (909) 469-9494
Fax: (909) 469-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PTL3588 (CA)

Record details

NPI number1467200154
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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