Individual
AVA KHOSRAVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
191 S BUENA VISTA ST, SUITE 475, BURBANK, CA 91505-4554
(818) 842-8000
(818) 842-3208
Mailing address
8950 W OLYMPIC BLVD, SUITE 171, BEVERLY HILLS, CA 90211-3561
(818) 842-8000
(818) 842-3208
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
248462
MA
Other
Enumeration date
11/05/2008
Last updated
01/13/2015
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