Individual
LAURA ELLEN MALKHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(232) 298-3680
Mailing address
1721 E 120TH ST, LOS ANGELES, CA 90059-3051
(232) 298-3680
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
437801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437801
REGISTERED NURSE
CA
Enumeration date
07/03/2018
Last updated
06/13/2023
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