Individual
ALIYA NISA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 420, LOS ANGELES, CA 90095-3201
(310) 206-6232
(310) 206-3551
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A181528
CA
208D00000X
General Practice Physician
A181528
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
03/30/2023
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