Individual
KASRA KHATIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST STE 3800, LOS ANGELES, CA 90033-5328
(323) 442-5720
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5720
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
A127670
CA
2084N0400X
Neurology Physician
Primary
A127670
CA
2085R0202X
Diagnostic Radiology Physician
A127670
CA
Other
Enumeration date
10/11/2012
Last updated
05/06/2022
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