Individual
SERLI KHODAGHOLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13615 VICTORY BLVD STE 116, VAN NUYS, CA 91401-1775
(818) 994-4724
(866) 384-0262
Mailing address
13615 VICTORY BLVD STE 116, VAN NUYS, CA 91401-1775
(818) 994-4724
(866) 384-0262
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
03/01/2022
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