| Shifa Regenerative Center and Pain Management | |
|
24953 Paseo De Valencia Ste 24a Laguna Hills CA 92653-4343 | |
| (714) 875-3755 | |
| (714) 875-3755 |
| Full Name | Shifa Regenerative Center and Pain Management |
|---|---|
| Speciality | Clinic/Center |
| Location | 24953 Paseo De Valencia Ste 24a, Laguna Hills, California |
| Authorized Official Name and Position | Amjad Al-khawaldeh (OWNER/CEO) |
| Authorized Official Contact | 7148753755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifa Regenerative Center and Pain Management 2012 Fallen Leaf Pl Tustin CA 92780-6713 Ph: (714) 875-3755 | Shifa Regenerative Center and Pain Management 24953 Paseo De Valencia Ste 24a Laguna Hills CA 92653-4343 Ph: (714) 875-3755 |
| NPI Number | 1518846385 |
|---|---|
| Provider Enumeration Date | 08/27/2025 |
| Last Update Date | 06/01/2026 |
| Certification Date | 06/01/2026 |
| Medicare PECOS PAC ID | 7618461948 |
|---|---|
| Medicare Enrollment ID | O20251212003383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518846385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QP3300X | Clinic/center - Pain | () | Primary |
| Provider Name | Amjad Al-khawaldeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091445 PECOS PAC ID: 9133537269 Enrollment ID: I20210409000761 |
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