Individual
DR. NEGAR KHANLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LECONTE AVE, BOX 951732, A7-149 CHS BOX 116, LOS ANGELES, CA 90095-0001
(310) 794-5560
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-5560
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
A91536
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
A91536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A9153600
—
CA
Enumeration date
03/16/2009
Last updated
06/18/2012
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