Individual
HIVA KHALIOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10596 WILKINS AVE, LOS ANGELES, CA 90024-6033
(310) 470-7960
Mailing address
10596 WILKINS AVE, LOS ANGELES, CA 90024-6033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18496
CA
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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