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

Individual provider Family Medicine Physician · NPI 1073967394

Mirna S Rizkalla, MD is a Family Practice in Lakewood, California. Qualified in 2006, 20 years ago. Practices with Regents of the University Of, a 30-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Oklahoma.

Years since qualifying
20
Licensed in
CA, OK
In the registry since
2016
Specialties on file
2
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

3650 S St Ste 404
Lakewood, CA 90712
Phone: (562) 232-3910
Fax: (562) 232-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1202 Nw Arlington Ave, Lawton, OK 73507-6537 — (580) 248-2288
  • 1202 Nw Arlington Ave, Lawton, OK 73507-6537 — (580) 248-2288

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A161724 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 207Q00000X (OK)

Record details

NPI number1073967394
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2016
Last updated in NPPESAugust 20, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Regents Of The University Of — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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