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

Individual provider Family Medicine Physician · NPI 1356381966

Dr. Wisam Joseph Khoury, MD is a Family Practice in Glendale, California. Graduated from Loma Linda University School of Medicine in 1993, 33 years ago. Practices with Medamerica Physician Solutions PC, a 28-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
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

1818 Verdugo Blvd Ste 302
Glendale, CA 91208-1403
Phone: (818) 427-4116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G79795 (CA)

Record details

NPI number1356381966
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 28, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesCRITICAL CARE (INTENSIVISTS), EMERGENCY MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Medamerica Physician Solutions Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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