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

Khaled Ibrahim Moh'd Al Smadi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891431334

Khaled Ibrahim Moh'd Al Smadi is a Student in an Organized Health Care Education/Training Program in San Bernardino, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404
Phone: (909) 644-5892
Show map & directions

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

Record details

NPI number1891431334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 24, 2023

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