Individual
JOSEPHINE MOUKHTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1816 ORCHARD AVE APT 1, GLENDALE, CA 91206-4179
(818) 543-1663
Mailing address
1816 ORCHARD AVE APT 1, GLENDALE, CA 91206-4179
(818) 543-1663
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A42174
CA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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