Individual
MARINE KHACHATRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 SANTA MONICA BLVD STE 311, LOS ANGELES, CA 90029-1259
(323) 715-0771
(323) 460-6000
Mailing address
1406 N KENMORE AVE, LOS ANGELES, CA 90027-5827
(323) 552-3300
(323) 460-6000
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
NA
CA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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