Individual
AMIR KHEDMATIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11728 WILSHIRE BLVD APT B707, LOS ANGELES, CA 90025-6409
(310) 991-2647
Mailing address
11728 WILSHIRE BLVD APT B707, LOS ANGELES, CA 90025-6409
(310) 991-2647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60804
CA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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