Individual
ASTHA KHADKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8600
Mailing address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64882
CA
Other
Enumeration date
08/05/2024
Last updated
10/15/2024
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