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Organization
MILA HEART AND VASCULAR CENTER, PROFESSIONAL CORPORATION
Active
Organization
MILA HEART AND VASCULAR CENTER, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEZIRE KHOSRAVI NP (CREDENTIAL COORDINATOR)
(323) 770-9607
Entity
Organization
Contact information
Practice address
16542 VENTURA BLVD STE 320, ENCINO, CA 91436-5060
(323) 770-9607
Mailing address
6720 VALLEY CIRCLE BLVD, WEST HILLS, CA 91307-2809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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