Individual
MRS. TALINE KHOUKAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1441 EASTLAKE AVE, NOR 8302E, LOS ANGELES, CA 90089-0112
(323) 865-3981
(323) 865-0061
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3981
(323) 865-0061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11729
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 11729
CA
Other
Enumeration date
10/19/2007
Last updated
11/27/2023
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