Individual
DR. JASON KHADAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
16661 VENTURA BLVD STE 820, ENCINO, CA 91436-4801
(424) 377-0441
Mailing address
16661 VENTURA BLVD STE 820, ENCINO, CA 91436-4801
(424) 377-0441
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5064
CA
Other
Enumeration date
04/30/2013
Last updated
10/01/2020
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