Individual
DAVID KHAKSHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CENTURY PARK E STE 1207, LOS ANGELES, CA 90067-2015
(410) 725-3363
Mailing address
1220 MANNING AVE APT 14, LOS ANGELES, CA 90024-5078
(410) 725-3363
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5807
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E5807
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5807
CA
Other
Enumeration date
08/13/2018
Last updated
10/07/2021
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