Individual
IRENE KHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(562) 212-9948
Mailing address
15116 RANCHO LA CUESTA RD, PARAMOUNT, CA 90723-4560
(562) 212-9948
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
95000558
CA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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