Organization
KHANNA INSTITUTE ASC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH KHANNA MD (OWNER)
(805) 230-2126
Entity
Organization
Contact information
Practice address
1220 LA VENTA DR, 209, WESTLAKE VILLAGE, CA 91361-3703
(805) 230-2126
Mailing address
1220 LA VENTA DR, 209, WESTLAKE VILLAGE, CA 91361-3703
(805) 230-2126
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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