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Individual

DEVEN KHOSLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2811 WILSHIRE BLVD STE 950, SANTA MONICA, CA 90403-4809
(775) 530-9669
Mailing address
2811 WILSHIRE BLVD STE 950, SANTA MONICA, CA 90403-4809
(775) 530-9669

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C52516
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016819
NV
01
880167036A004
TRICARE
NV
01
CC3105
BLUE CROSS BLUE SHIELD
NV
05
XPY195323
CA
Enumeration date
05/23/2006
Last updated
12/30/2024
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