Individual
OLGA KHODAKIVSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S PALM CANYON DR, PALM SPRINGS, CA 92262-7303
(760) 773-4560
(760) 773-4561
Mailing address
415 S PALM CANYON DR, PALM SPRINGS, CA 92262-7303
(760) 773-4560
(760) 773-4561
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A167521
CA
Other
Enumeration date
07/01/2015
Last updated
01/27/2023
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