Individual
DAVID KHERADYAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 N PRAIRIE AVE, SUITE 200, INGLEWOOD, CA 90301-4502
(310) 680-0560
(310) 680-0565
Mailing address
1158 26TH ST, SUITE 560, SANTA MONICA, CA 90403-4698
(310) 419-8360
(310) 680-0565
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A74610
CA
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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