Individual
KHATOUN YAZDANNEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3828 DELMAS TER, CULVER CITY, CA 90232-2713
(310) 836-7000
Mailing address
9950 DURANT DR UNIT 402, BEVERLY HILLS, CA 90212-1610
(310) 866-8450
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
590162
CA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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