Dr. Moemen Ahmed Khattab, MD
Dr. Moemen Ahmed Khattab, MD is an Internal Medicine in Thousand Oaks, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.
- Years since qualifying
- 4
- Licensed in
- CA, MI
- In the registry since
- 2022
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Thousand Oaks, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 9961 Sierra Ave, Fontana, CA 92335-6720 — (833) 574-2273
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 197267 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 4301513683 (MI) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
Record details
| NPI number | 1417698903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 6, 2022 |
| Last updated in NPPES | June 24, 2026 |
| Certification date | June 24, 2026 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Thousand Oaks
-
Mariam Ehab Khalil
Student / training record Thousand Oaks, CA
-
Nicholas E Khan
Student / training record Thousand Oaks, CA
-
Sohrab Kharabaf
Student / training record Thousand Oaks, CA
-
Anusha Kharel
Student / training record Thousand Oaks, CA
-
Huan Khong, DO
Student / training record Thousand Oaks, CA
-
Dr. Fady Khoury, MD, MBA, MPH
Student / training record Thousand Oaks, CA
-
Christine Hana Kim
Student / training record Thousand Oaks, CA
-
Jasmine Kim, MD
Student / training record Thousand Oaks, CA