Individual
ELAHEH KHOSTOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1673 LOGAN AVE UNIT 2, SAN DIEGO, CA 92113-1004
(415) 308-7464
Mailing address
1673 LOGAN AVE UNIT 2, SAN DIEGO, CA 92113-1004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/26/2023
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