Individual
DR. ANTOINE G KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1211 N VERMONT AVE STE 100, LOS ANGELES, CA 90029-1748
(323) 663-0259
(323) 663-0297
Mailing address
1211 N VERMONT AVE STE 100, LOS ANGELES, CA 90029-1748
(323) 663-0259
(323) 663-0297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC13576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54126
ASHP
CA
01
—
DC0135760
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/07/2006
Last updated
07/08/2007
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