Individual
DR. ANDRE ELIE KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15030 VENTURA BLVD, SUITE # 5, SHERMAN OAKS, CA 91403-5470
(818) 784-2278
(818) 784-2270
Mailing address
15030 VENTURA BLVD, SUITE # 5, SHERMAN OAKS, CA 91403-5470
(818) 784-2278
(818) 784-2270
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC13575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54220DC0135750
BLUE SHIELD OF CALIFORNIA
CA
01
—
PIN 0004399228
AETNA
CA
Enumeration date
03/30/2007
Last updated
07/08/2007
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