KHALDOUN A DEBIAN MD A MEDICAL CORPORATION
NPI 1477645380
Internal Medicine - Gastroenterology in Tustin, CA

Q: What is Khaldoun A Debian MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since September 28, 2006CLIA 05D2168637 · Certificate of Compliance

17400 IRVINE BLVD STE F, TUSTIN, CA 92780(147) 937-9400(714) 937-9404 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2022, Mar 31, 2017 (2 updates tracked since 2017).

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About Khaldoun A Debian Md A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALDOUN A DEBIAN MD A MEDICAL CORPORATION (NPI 1477645380) is a healthcare organization registered as a gastroenterology in Tustin, California and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 27, 2027 and lists Khaldoun A Debian, Md, as its authorized official.

NPPES Registry Identity

NPI1477645380

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameKHALDOUN A DEBIAN MD A MEDICAL CORPORATION

Location Address17400 IRVINE BLVD STE FTustin, CA 92780-3030

Mailing Address17400 Irvine Blvd Ste FTustin, CA 92780-3030 · (714) 937-9400 · Fax (714) 937-9404

Phone(147) 937-9400

Fax(714) 937-9404

Organization SubpartNo

Authorized OfficialKhaldoun A DebianMd · (714) 937-9400

Enumeration DateSeptember 28, 2006

Last NPPES UpdateApril 4, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1477645380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A63521

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

17400 IRVINE BLVD STE F, Tustin, CA 92780

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2168637

Khaldoun Debian MD Inc · Tustin, CA

Active · expires Jan 27, 2027

CLIA Number05D2168637

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2025

Certificate Expiration DateJanuary 27, 2027

Laboratory DirectorRana Richeh

Laboratory Phone(714) 937-9400

Laboratory LocationKhaldoun Debian MD Inc17400 Irvine Blvd, Ste F, Tustin, CA 92780

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD ADNAN ELBATTA