Individual
PAUL KHAYUMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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