Individual
AYAD IBRAHIM KHILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
122 E WASHINGTON BLVD, LOS ANGELES, CA 90015-3601
(213) 749-6500
(213) 741-0285
Mailing address
10401 CALLE INDEPENDENCIA, FOUNTAIN VALLEY, CA 92708-3709
(714) 350-3420
(714) 369-2017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19887
CA
Other
Enumeration date
10/04/2010
Last updated
02/10/2017
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