Individual
MS. ELHAM KHODABANDELOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1411 MARSH ST STE 106, SAN LUIS OBISPO, CA 93401-2967
(805) 439-1581
(650) 488-7117
Mailing address
1633 PEREIRA DR, SAN LUIS OBISPO, CA 93405-6830
(650) 269-9425
(650) 488-7117
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12645
CA
Other
Enumeration date
03/12/2009
Last updated
05/22/2023
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