Individual
DR. DEANNA YADAO KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E BEVERLY BLVD, 404, MONTEBELLO, CA 90640-4300
(323) 722-6861
(323) 722-0158
Mailing address
8707 COLIMA RD, WHITTIER, CA 90605-1309
(310) 696-6251
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A30976
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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