Empire Endocrinology PC
Internal Medicine, Endocrinology, Diabetes & Metabolism in Corona, CA. Organization (NPI-2).
Details
- NPI
- 1104715317
- Entity type
- Organization (NPI-2)
- Legal business name
- Empire Endocrinology PC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | Yes |
Practice location
802 Magnolia Ave Ste 200Corona, CA 92879-3144
Phone 951-444-7006 · Fax 909-247-3340
Mailing address
802 Magnolia Ave Ste 200Corona, CA 92879-3144
Phone 951-444-7006 · Fax 909-247-3340
Authorized official
Almoutaz B Shakally
Owner
9096969626
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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