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

Dr. Abdallah Khourdaji, MD

Individual provider Dermatology Physician · NPI 1093799652

Dr. Abdallah Khourdaji, MD is a Dermatology in Lodi, California. Qualified in 1973, 53 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
53
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 S Ham Ln Ste A
Lodi, CA 95242-7501
Phone: (209) 333-6110
Fax: (209) 333-0724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 00A341430 (CA)

Record details

NPI number1093799652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 6, 2005
Last updated in NPPESAugust 11, 2010
Mailing address801 S Ham Ln, Ste A, Lodi, CA 95242-7501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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