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JANE G. KHOURY M.D. NPI 1245246214


NPI Information

NPI: 1245246214
Provider Name: JANE G. KHOURY, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual
Organization: TETON DERMATOLOGY INC

PECOS Registration: Yes

Address:
600 CORPORATE DR
SUITE 240
LADERA RANCH, CA
ZIP 92694
Phone: (949) 364-8411
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Jane G. Khoury, M.D. is a dermatology in Ladera Ranch, CA with 22 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Jane G. Khoury, M.D. NPI is 1245246214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

600 CORPORATE DR
SUITE 240
LADERA RANCH, CA
ZIP 92694-106
Phone: (949) 364-8411

The NPI 1245246214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 1/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyA84016CALIFORNIANo
2207N00000XDermatologyA84016CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AQ903ZMEDICARE PIN
2WA84016HMEDICARE PINCALIFORNIA
3WA84016FMEDICARE PINCALIFORNIA
400A840161MEDICARE PINCALIFORNIA
5WA84016CMEDICARE PINCALIFORNIA
6I42077MEDICARE UPINCALIFORNIA
7WA84016GMEDICARE PINCALIFORNIA
8WA84016BMEDICARE PINCALIFORNIA
9WA84016DMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.