Tariq Ali Khan MD INC 14642 Newport Ave STE 408Concierge Practice Patient Agreement • March 19th, 2020 • California
Contract Type FiledMarch 19th, 2020 JurisdictionThe Physician delivers care on behalf Tariq Ali Khan M.D. INC., at the address set forth above. In exchange for certain fees paid by You, Tariq Ali Khan M.D. INC., through its Physician, agrees to provide Patient with the Services described in this Agreement on the terms and conditions set forth in this Agreement.